2013 ACB Legislative Seminar
Instructions: Please complete one packet per group (per visit). It is best to complete this form as soon as possible after your appointments and return it to the ACB table in the muster room.
Completion of this form offers us vital feedback and information to aid in accomplishing our legislative goals for 2013. If you run out of space, please use the back. Pick up two business cards from the person you speak with, one for your records and one for the national office. Thank you for your participation!
These forms are also available on the ACB web site atwww.acb.org. Please send print or electronic forms to[email protected] at the ACB national office ASAP.
- Name of legislator and state represented (example: Rep. Christopher Van Hollen - Maryland):
- Name of the congressional staff person you visited:
- Name of your ACB affiliate (if applicable) and the name(s) ACB participant(s).
__ Check here if you only dropped off materials at a Congressional Office and did not meet with anyone.
Issue: Low Vision Device Exclusion
- Rate your overall impression of the meeting--was the staff member engaged; did the staff member ask questions?
1 Poor 2 Fair 3 Neutral 4 Well 5 Very Well
- What questions did the staff member ask? Do they need or want further info? What info does he/she want or need? Please specify.
- Has this member of Congress agreed to introduce a bill regarding the Medicare Low Vision Device Exclusion?
- __ ACB staff should follow up.
- Any significant intelligence: e.g. "We're going to move that issue this year." "We will definitely support this issue.” “I [my boss] is opposed to ...".
Issue: Anne Sullivan Macy Act
- Rate your overall impression of the meeting--was the staff member engaged; did the staff member ask questions?
1 Poor 2 Fair 3 Neutral 4 Well 5 Very Well
- What questions did the staff member ask? Do they need or want further info? What info does he/she want or need? Please specify.
- Has this member of Congress agreed to introduce the Anne Sullivan Macy Act?
- __ ACB staff should follow up
- Any significant intelligence: e.g. "We're going to move that issue this year." "We will definitely support this issue.” “I [my boss] is opposed to ...".