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.
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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
Join the MSDC Task Force on Family Violence
The Medical Society of the District of Columbia Task Force on Family Violence is a beacon organization in the city for medical and other helping professionals who are working in the field of intentional abuse within families and partnerships. The Task Force was established in1992 and has grown from a small diverse group to a multidisciplinary membership including health caregivers, attorneys, law enforcement officers, community-based advocates, policy and public health experts and survivors. The Task Force has focused on establishing networks and collaborations with both local and national organizations while raising the nation's conscience around family violence issues.
The list of group associations has grown exponentially along with the membership. Perhaps the first most important affiliation was Mayor's Commission on Violence Against Women, followed by the DC Superior Court's Domestic Violence Implementation Committee, a.k.a. Coordinating Council, the DC's Domestic Violence and Child Fatality Review Board, US Department of Justice, US Attorney, District of Columbia's Advisory Board, and the Safety Network for Abused Animals and People. National groups include the AMA Advisory Council on Violence and Abuse, now the National Health Collaborative on Violence and Abuse, Futures without Violence, several medical organizations targeting special issues related to the intersection of health, violence and prevention.
The Task Force has been involved in multiple projects, programs and policy initiatives over the years. Offering testimony at legislative hearings, briefings, and participating in high stakes meetings has resulted in the inclusion of family violence as part of the Department of Health Medical State Plan, and greater funding for victim services as part of the annual DC budget. The Task Force has been actively involved in providing written and spoken testimony for DC Council legislative Bills covering child abuse, child fatality, intimate partner violence, housing, employment, and the environment, sex trafficking and sexual assault. At the national level the Task Force has provided advocacy for the Violence Against Women Act from its inception, the International Violence Against Women Act, consideration for the establishment of a National Domestic Violence Registry as well as many others. Members have attended Presidential Summits covering such varied topics as bullying, sexual assault on college campuses.
In the area of education, the Task Force has collaborated in the development of city conferences organized by medical students and practicing physicians over the years, acquiring grants in partnership with community based agencies to develop fact sheets, learning modules, and premiers. Task Force members have been prolific in their editorials and op-eds in print publications such as The Washington Post and the Baltimore Sun. Members have appeared on TV and in radio syndicated programs on a wide variety of violence-related topics. Task Force members organized the Clinics in Family Practice (2003) first publication covering family and community violence to rave reviews. In addition, members came together and organized the longest running class covering domestic violence at any DC medical school at Georgetown, leading the way for students to develop their own informal peer, classroom and virtual learning experiences.
Several members have successfully collaborated in the development of award winning grant projects that have made a tremendous difference in residents of the District of Columbia. The George Washington first ever ED-based law student advocacy program for survivor of violence (1996), the Wireless Foundation grant, which helped support the first "one- stop" health/law advocacy program at then Greater South East Hospital. Other funded initiatives include the production of several women's and girl’s resource reviews and educational materials with the support of Office of Women's Health (OWH) grants. Expanding into the field of trauma-informed care practices, some physician members have pushed for best practice models and encouraged innovative study programs looking at survivor outcomes and recovery.
The impact of the Task Force lies in the energy, commitment and talent of its members collectively. The diversity of its membership is one of its secret strengths. The result has been a wonderful synergy leading to successful collaborative partnerships and networks resulting in positive individual and community change that liberates survivors and elevates us all.
For information about the Task Force or to volunteer, contact MSDC.
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