State-Level Initiatives in 2019

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1. Please confirm your current city and state:

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2. Are you currently aware of issues related to childhood cancer or healthcare that might come up in the 2019 legislative session in your state? If so, please tell us a little about the issue(s) you're anticipating.

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3. Please rank the following state-level issues by your interest in engaging around them:

Resolution declaring May 17 as National DIPG Day in every state in the union.

Medicaid waivers that enable pediatric hospice care in the home setting.

Fertility preservation coverage for young adults in cancer treatment.

Legislation giving people the option to donate to pediatric cancer research through their personal income tax returns or through vehicle and license forms.

Paid leave for parents attending to children undergoing cancer treatments.

Technology grants to schools to provide for remote school attendance.

Resolution declaring February 15 as International Childhood Cancer Awareness Day in every state capitol.

Medicaid expansion.

Drug pricing transparency to rein in prescription drug prices.

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4. Please select the type of work you're willing to do to help achieve legislative success in your home state around some of these issues. Select all that apply:

Meet with your state legislator(s) in person.

Organize an action day at your state capitol.

Call or email your state legislator(s).

Write letters to the editor.

Lead a social media campaign.

Other (please specify)

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* 1. Please confirm your current city and state:

Question Title

* 2. Are you currently aware of issues related to childhood cancer or healthcare that might come up in the 2019 legislative session in your state? If so, please tell us a little about the issue(s) you're anticipating.

Question Title

* 3. Please rank the following state-level issues by your interest in engaging around them:

Question Title

* 4. Please select the type of work you're willing to do to help achieve legislative success in your home state around some of these issues. Select all that apply:

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* 5. Email address, so we can follow up:

1. Please confirm your current city and state:

2. Are you currently aware of issues related to childhood cancer or healthcare that might come up in the 2019 legislative session in your state? If so, please tell us a little about the issue(s) you're anticipating.

3. Please rank the following state-level issues by your interest in engaging around them:

4. Please select the type of work you're willing to do to help achieve legislative success in your home state around some of these issues. Select all that apply:

5. Email address, so we can follow up: