Scope of Practice
MSDC has long advocated that a physician is the most qualified professional at the head of a care team. Physicians have the most health education and pre-practice experience of any health professional, and thus must be involved in all but the most mundane health care decisions.
Certain professional decisions critical to high quality patient care should always be the ultimate responsibility of the physician practicing in a health plan...MSDC Policy Manual, 285.008 Physician Decision-Making
Recently we have seen pushes in other states to reduce the roles of physicians in health care or to try and extract health system "savings" by cutting physician reimbursement. MSDC has long advocated for fair reimbursement practices, the importance of physicians in health policy, and stopping the push to equate other health professionals' skills with physicians.
MSDC Statements and Testimony on Scope of Practice Issues
MSDC Announces Advocacy "Curriculum" for DC Physicians
January 6, 2021
MSDC will have new ways for physicians to build their advocacy skills and advocate for their top issues in 2021 (and beyond).Continue Reading
MSDC Announces 24th Council Period Advocacy Agenda
December 16, 2020
MSDC launches 24th Council advocacy agenda centered on four priorities.Continue Reading
American Board of Medical Specialties To Open Stakeholder Comment Period
November 11, 2020
The ABMS announces it will open a public comment period on December 7 for its Standards for Board Continuing Certification.Continue Reading
Sample of Scope of Practice Legislation MSDC is Tracking
What does the bill do? It allows an adult seeking a hearing aid to receive medical clearance from any licensed physician, not just an otolaryngologists.
MSDC position: MSDC supports the legislation.
Current status: The bill was passed by the Council after MSDC and AAO-HNS successfully worked with Council staff to correct language confusing audiology with the practice of medicine. The bill was signed by the Mayor
What does the bill do? The bill imposes tighter reporting requirements on health practitioners and health facilities, requiring more reporting and imposing large fines for noncompliance.
MSDC position: MSDC opposed the original language, as it was ambiguous as to whether impaired physicians seeking treatment would need to be reported even if they were not a danger to others. Clarifying amendments to the legislation now requires only physicians with no hope of passing treatment to be reported.
Current status: The Committee on Health had a hearing in June 2019. The bill was passed by the Council and signed by the Mayor.
What does the bill do? The bill establishes a licensing process for midwives and allows certified professional midwives to supervise services at a maternity center.
MSDC position: MSDC did not take a formal position on this bill.
Current status: The bill was passed by the Council and signed by the Mayor.