Advocacy Successes

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Physician Advocacy Successes

Good health policy is made with physicians in the discussion.

MSDC, working with its members, partners, and other organizations, has won major policy victories to help its members practice medicine. Below is a sampling of those victories. Do you want to be a vital part of the next policy victory helping improve the health of the District? Contact us today.

24th Council Period (2021-2022)

Opioid Policy

  • MSDC was added to the opioid fund oversight panel by the Council in its legislation authorizing the oversight body

Scope of Practice

  • MSDC supported legislation to ban the sale of flavored electronic smoking devices and restrict the sale of electronic smoking devices.
  • Working with a coalition, MSDC added funding to the DC budget to support the hiring of more license specialists to help with the delay in processing medical licenses.

Women's Health

  • B24-143, to regulate certified midwives, passed the Council with MSDC's support
23rd Council Period (2019-2020) [see update for entire Council period]

Health Equity

  • Mayor Muriel Bowser signs into law the Electronic Medical Order for Scope of Treatment Registry Amendment Act of 2019. The eMOST Registry Amendment Act permits the creation of an electronic database of advanced directive wishes for District residents that can be tied into the health information exchange.
  • Mayor Bowser signs into law the School Sunscreen Safety Temporary Amendment Act of 2019. The bill permits students to bring and apply sunscreen during the 2019-2020 school year.
  • MSDC comments on the importance of funding United Medical Center (UMC) and health facilities in Wards 7 and 8 in the mayor's budget. Those comments are used almost verbatim in CM Trayon White's comments advocating for funding of United Medical Center.

Scope of Practice

  • DC Health publishes draft regulations removing the 3 mandatory CME hours for HIV/AIDS awareness and replaces them with a requirement to fulfill 10% of mandatory CME hours with a topic from a public health priority list. DC Health then waived the requirement for 2020.
  • The Strengthening Reproductive Health Protections Act of 2020 is signed into law with MSDC support. The bill prohibits government interference in reproductive decisions between a patient and doctor, and prohibits employers from penalizing physicians for practicing reproductive medicine outside of their work hours.
  • The Mayor's Commission on Healthcare Systems Transformation releases its final recommendations. One recommendation is for the District to explore options to make providing health care more affordable, including financial relief for higher malpractice insurance rates.
  • The Council removes "telephone" from the list of prohibited types of telemedicine to allow physicians and other providers to be reimbursed for telephone telemedicine appointments after MSDC and health community advocacy.
  • MSDC worked with the Council to modify onerous language in the Health Care Reporting Amendment Act that potentially would have penalized physicians from seeking help for substance abuse or addiction issues.

Opioid/Drug Policy

  • The Department of Health Care Finance (DHCF) waives prior authorization for key medication assisted treatments (MAT) treating substance use disorder patients in Medicaid.
  • The Mayor signed into law The Access to Biosimilars Amendment Act of 2019, a top MSDC priority as it would help prescribers to prescribe more cost-effective drugs for patients.

Behavioral Health

  • The Behavioral Health Parity Act of 2017, a major priority for MSDC and DCPA, officially becomes law. The legislation requires all health benefit plans offered by an insurance carrier to meet the federal requirements of the Wellstone/Domenici Mental Health Parity and Addiction Equity Act of 2008.
22nd Council Period (2017-2018)

Health Equity

  • The District Council passes B22-1001, The Health Insurance Marketplace Improvement Amendment Act of 2018. The bill prohibits the sale of Short Term, Limited Duration health plans and Association Health Plans (AHPs) in the DC Health Benefits Exchange.

Scope of Practice

  • DC joins 28 other states in the Interstate Medical Licensure Compact with B22-177 becoming law. The IMLC is designed to ease physician licensure in multiple states.

Women's Health

  • The Maternal Mortality Review Committee is established by law. The Committee is responsible for finding solutions to maternal health crisis in the District. District physicians are an important part of this vital committee.
  • B22-106, The Defending Access to Women's Health Care Services Amendment Act, becomes law. The act requires insurers to cover health care services like breast cancer screening and STI screenings without cost-sharing.
21st Council Period (2015-2016)

Opioid Policy

  • Right before the Council adjourned for the session, it passed B21-32, the Specialty Drug Copayment Limitation Act. The bill limits cost shifting by payers for prescription drugs.

Behavioral Health 

  • B21-0007 passes the Council. The Behavioral Health Coordination of Care Amendment Act of 2016 permitted the disclosing of mental health information between a mental health facility and the health professional caring for the patient.

Women's Health

  • MSDC was proud to have worked on B21-20. The law requires payers to cover up to 12 months of prescription contraception, advancing women's health and equality.

 

 

Dr. Lisa Fitzpatrick uses her adventurous spirit to engage with patients

Dec 27, 2022, 09:47 AM by Aimee O'Grady
Meet MSDC member and dedicated public health advocate Dr. Lisa Fitzpatrick.

 

Dr. Lisa Fitzpatrick grew up in St. Louis, Missouri, and didn’t leave the state until she was ready for her internship in Michigan in 1992. Her internal medicine residency opened the world to her, and she has been making up for lost traveling time ever since.

She was the first person in her family to graduate from college and pursued medicine because “My mother said it was possible.” Her aptitude for science helped and when she applied to medical school, she was accepted. That acceptance opened the doors wide to an array of opportunities.

A residency program accepted Dr. Fitzpatrick in 1994 and soon after she boarded a plane for Swaziland. “It was only the second time I had been on a plane,” she confessed. It was during her residency that she chose the specialty of infectious diseases and public health. “I like the investigative approach to medicine involved in infectious diseases and how these diseases can impact the entire world,” she said. “The COVID-19 pandemic is a perfect example,” she added.

After Swaziland, she spent some time in Kenya before shifting gears when she returned to the United States for her Fellowship in Colorado. It was there that she learned to snowboard. Since high school she’d enjoyed competing in sports and in Colorado even found time to play racquetball competitively. After fellowship she was accepted into the Epidemic Intelligence Program at the CDC in Atlanta, Georgia.

Her magnum opus was the last field investigation she conducted for the Centers for Disease Control and Prevention. “We studied HIV transmission in 31 Georgia prisons. It was a multidisciplinary team that conducted computer-assisted surveys, performed genetic sequencing, conducted focus groups and reviewed clinical records and history over the course of six weeks,” she said.

The findings were not well-received. I think the study findings were an embarrassment to public officials . “We know HIV is a sexually transmitted disease. One of the findings was that guards were having sex with the inmates. Also, the prison system did not make condoms accessible, so inmates would improvise for protection and use things like plastic wrap.”

While the study results were published, the publication lacked granular detail. “Sometimes people don’t consider what they are going to do with the information when they ask for a study to be conducted,” she said. The elegancy of the sophisticated analysis is what makes Dr. Fitzpatrick most proud of this work.

In 2019, she launched Grapevine Health, a digital health media company, to build trust and improve patient engagement among Medicaid patients through delivering culturally appropriate and relatable health information. “People tend to avoid healthcare because they don’t understand it. In some circumstances, people wait until their situation is dire and it becomes too expensive, or even too late.”

The goal of the digital health media company is to be relatable to its constituents. “We focus on Medicaid patients and other underserved communities in the African American community. We are currently working within our geographic community and conducting focus groups but are looking to scale this model nationally.”

Some of her successes to date include increased vaccination rates during the COVID-19 pandemic and increased engagement among out of care diabetics with diabetes information. Grapevine’s target audience is the Medicaid audience between the ages of 35 and 65 with chronic health conditions. She hopes to improve healthcare engagement and  quality of life for these patients through culturally appropriate health education delivered by trusted messengers 
Infectious Diseases and epidemiology are just two of Dr. Fitzpatrick’s many interests. Her life’s goal is to become public health photojournalist and a luxury spa reviewer. Until then, she travels and reviews spas on her dime.

She also enjoys adding to the list of 41 countries she has visited. This active, outdoor adventure-seeking physician has spent 12 days biking from Hanoi to Saigon in Vietnam and lounging at the Modern Elder Academy in Baja, Mexico. On her bucket list are trips to visit friends in Brazil, Bali, Australia, and New Zealand. As she makes up for years spent in St. Louis, she has yet to visit Wyoming but plans to brush up on her snowboarding there soon.

Dr. Fitzpatrick is adamant that she will find a way to engage her audience to listen to what she has to say, and what they need to know, about healthcare. One path she will be pursuing is Stand Up Comedy and has enrolled in a stand-up class that begins in February. “People turn to social media to be entertained. I would like to add entertaining content on social media about healthcare. There is something about healthcare that makes people reluctant to make fun of it. I think we need to make jokes about our healthcare system. Maybe then people will listen.”

Dr. Fitzpatrick has been a member of the Medical Society of DC on and off for years and consistently for the past five years. She is part of the Women’s Group and enjoys being pulled into other projects on an as-needed basis.

Upon retirement, she will work toward her goal to become a public health photojournalist and help people learn about health and public health through other cultures, especially if the luxury spa opportunity never comes to fruition.

Do you know a physician who should be profiled in the MSDC Spotlight Series? Submit a nomination to Robert Hay, hay@msdc.org, for a future story. MSDC membership is encouraged for featured physicians.