Health Equity
Medicaid Enrollment Touches 39% of the Residents of The District of Columbia; DC’s 70/30 FMAP is Vital for the Maintenance of Health & Human Services
A reduction in the District’s FMAP would not lead to long-term government savings and would have a ripple effect throughout the entire health system in the DMV, crippling access to care for not only Medicaid beneficiaries but also all those who live, work, and visit the District of Columbia, including members of Congress and their staffs.
.png?sfvrsn=9ac2d21b_0 "What Medicaid Cuts Actually Cost")
Why does DC receive an Enhanced FMAP Rate?
The DC FMAP rate of 70% established by the Revitalization Act resulted from bipartisan analysis, discussion, and negotiation by Congressional leadership aiming to balance fairness with the District’s restricted ability to generate revenue. Congress recognized that the District of Columbia faces unique financial challenges due to its non-state status and the significant amount of federally-owned land within its boundaries. The District is unable to tax non-residents’ earnings, so these workers pay no taxes to support the infrastructure and services, such as roads, public safety and emergency services that they benefit from in the District. The District is also unable to tax up to 40% of the real property within its borders due to statutory restrictions.
Why are we concerned about DC's FMAP now?
Members of Congress have proposed reducing the DC FMAP to the statutory minimum for all other states, which is currently 50% (but could be reduced even more). Such a change would impact every physician and every practice, regardless of type, location, and payers contracted. Even practices who take no insurance will not be able to send patients for specialist care, hospital admissions, or other types of care.
What can MSDC members do?
- If you know a member of Congress or staffer, reach out to them and share how DC cuts will hurt your patients.
- Share your relationships and outreach with hay@msdc.org so we can help coordinate advocacy efforts.
- Email hay@msdc.org if you would like to be paired with a physician member of Congress office and trained by MSDC staff on how to reach out.
Resources
- DC FMAP cut fact sheet
- California Medical Association fact sheet on Medicaid cuts
- MSDC and healthcare association letter to Congress arguing against DC FMAP changes.
- MSDC original story on Medicaid changes.
News, Statements, and Testimony on Health Equity Issues
MSDC Members Visit the Wilson Building for Advocacy Event
Physicians are their own best advocates, so MSDC brought a group - virtually and in-person - to the DC Council as part of the annual Council Visit Day.
Council Visit Day is an annual event where physicians meet Councilmembers and their staff to discuss issues important to the entire DC House of Medicine.
This year, attendees shared three items:
- Concerns about B25-571, which would create a new mandatory CME requirement
- Information about prior auth gold carding as a next step in DC's progressive prior auth reforms
- A draft resolution encouraging Congress to fix the Medicare payment system
Attendees held six in-person and one virtual meeting, including meeting members of the Committee on Health and Committee on Health Equity. Towards the end of the day attendees spent 30 minutes with Councilmember Charles Allen discussing a number of healthcare topics and were thanked for their service.
This is not the only opportunity for physician engagement in advocacy this year; those interested in meeting Councilmembers or speaking with their offices can:
- Ask MSDC to help you sign up to testify at a hearing
- Ask MSDC to arrange a meeting to discuss an issue on the MSDC agenda
- Join or renew their membership to see opportunities in Capital Medicine or dedicated emails
For more information contact the MSDC office.