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. Neal Barnard Hits the High Notes on the Topic of Diabetes

Feb 21, 2023, 19:37 PM by Aimee O'Grady
Meet MSDC Board member and alternate AMA delegate Neal Barnard, MD.

A quick search on the name Dr. Neal Barnard will certainly return his medical profile but also results about his musical talent, as he is an equal part physician and musician.

Dr. Barnard’s father left the family cattle ranching business and went to medical school, ultimately becoming the diabetes expert in Fargo, North Dakota.

Barnard, influenced by his father’s life path, also pursued medicine, and like his father, eventually chose to focus on diabetes. “I grew up in a community that didn’t focus on healthy eating and our family business helped to perpetuate unhealthy nutrition, albeit innocently,” he said.

During his father’s career in the 1950s, the best a doctor could do was manage diabetes with the hope that patients’ conditions worsened at a slower rate. But Dr. Neal Barnard knew there was more that could be done.

“My father used to make house calls. His Chevy Impala had a spotlight so he could see house numbers at night. In those days, there were fewer barriers between patients and physicians, it was a model I wanted to emulate,” he said. In his work, he takes time with his patients to learn more about their lifestyles, and habits to gain a more complete patient profile.

Dr. Barnard attended George Washington University School of Medicine and completed a psychiatry residency at GWU as well. Shortly thereafter, he received funding from the National Institute of Health to study new approaches to diabetes, finding that a low-fat plant-based diet was three times more effective at improving blood sugar control than a typical portion-controlled diet. Working with research colleagues at Yale University, he found that the diet change greatly enhanced insulin sensitivity and provided a new tool against diabetes. “Before long, things became much clearer than people thought during my father’s career. In time, we learned that we were able to help people improve dramatically and sometimes make diabetes disappear through diet alone,” he said.

Armed with this information, he made the call to his father to tell him. His father was supportive but surprised because, in his day, the medical community thought all along that diabetes was a progressive and unstoppable disease.

Dr. Barnard expanded his research by traveling the world looking for low-fat, plant-based diets that would prevent the onset of diabetes. Today his expectation is diabetes can be more than managed, it can often be greatly improved and even resolved. His research has also produced fascinating applications of healthful diets for overweight, cholesterol problems, menopausal symptoms, and dysmenorrhea. He has compiled his research into books about reversing diabetes, cookbooks, and the power of food.

Turning back to his upbringing, Dr. Barnard recognizes that the food industry is the second biggest hurdle regarding diabetes. “My own family was part of it. They were good, honest people making a living. We simply didn’t realize that our food product was causing people to become sick,” he said. He compares it to tobacco farmers of the 19th century.

The food industry may be the second hurdle, but the first one is people’s habits and attitudes toward food. “It is my role to help patients meet their goals and in many cases that comes down to educating them about their food choices. I have never met a patient who couldn’t change,” he said with encouragement.

When Dr. Barnard isn’t working with his patients and better-understanding diabetes, he is meeting with his band, CarbonWorks, which is working on its 4th album. “As a kid in Fargo, my parents had us study music and the arts. I played cello and guitar,” he said.

Dr. Barnard says he was a musician before he was a physician. “I love music, but it doesn’t save lives.” For him, music had to take the back seat after medicine.

His international travels take him on research trips for medicine, but also for music. His band members are from all over the world, and they record songs in French, Italian, and Vietnamese as well as English.

Dr. Barnard enjoys traveling and learning from others, a passion that began in his youth. As a high school student, he spent a summer in Belgium which he found humbling. “The family I spoke with spoke Flemish. They would tease me for my linguistic limitations a lot, and it made me humbler. When I returned to Fargo, I saw the world differently, I didn’t want to be looked at as the “ugly American”.

His volunteerism with MSDC is an extension of his desire to better understand and help educate people. Through advocacy and meeting with others, he hopes to reach more people. 

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.