Women's Health
MSDC has long advocated for women's health protections, the rights of women physicians, and affordable care for women's issues. MSDC works closes with ACOG, AAFP, AAP, and other specialty organizations to craft local legislation that allows DC to be the best place to practice women's and maternal medicine.
In the face of a maternal mortality crisis in the District, engagement in these issues is more important than ever. Learn more about how MSDC is working to protect the health of women, mothers, and babies in all wards in the city.
MSDC Statements and Testimony on Women's Health Issues
25th Council information coming soon!
Join the physician letter asking for a prior auth hearing
MSDC is again pushing for the DC Council to hold a hearing on legislation to reform prior authorization, in line with recommendations made by the American Medical Association and other national healthcare groups. Last year, Councilmember Mary Cheh introduced this bill, and we have heard another bill may be introduced soon.
Without a hearing, the prior auth legislation cannot move forward for consideration by the Council. A hearing is also an opportunity by the Council to hear how and why prior auth is a burden to local practices. While MSDC has reams of data on national impact, the local impact moves the needle.
Just like last summer, we are asking you to join a physician sign-on letter asking for a hearing on potential legislation. Our hope is that if the bill drops shortly the letter can be used to show the urgency for a hearing.
Use this link to join our letter - the deadline is Tuesday, February 7.
The letter text is below. If you have any questions about prior auth or how to get involved, contact Robert Hay Jr at hay@msdc.org or 2O2-466-18OO.
February 7, 2023
The Honorable Christina Henderson
Chair, Committee on Health
Council of the District of Columbia
1350 Pennsylvania Ave NW
Washington DC 20004
Dear Chair Henderson,
We, the undersigned
physicians and healthcare professionals, urge you to hold a hearing on prior authorization legislation before the Council recess this summer.
According to a recent Axios article, 40 states are considering legislation to reform prior authorization
practices. The Mayor’s Healthcare Workforce Task Force includes a draft recommendation to reform the practice to prevent healthcare worker burnout and improve retention. Nationally, the movement is to reform a practice that harms patients and
hinders care, and the District needs to be a part of this movement.
A recent American Medical Association (AMA) physician survey on prior auth showed that 93% of physicians report care delays because of prior authorization. The same survey
showed that physician offices spend 13 hours each week (almost two business days) dedicated to prior auth paperwork.
These delays impact our residents and patients daily, leading many to wait unnecessarily for their treatments or choose
to abandon them altogether.
We ask you to hold a hearing on this bill because you and your colleagues need to hear our stories about how prior authorizations negatively impact physicians across the District. We look forward to continuing
to share our stories and working with your office to pass this legislation in 2023.
Sincerely,
Sample of Legislation MSDC Followed in Women's Health and Maternal Health
(See the whole list of bills here)
What does the bill do? Extends postpartum inpatient and outpatient benefits to at least one year after childbirth
MSDC position: We support this legislation and the extension of insurance benefits to mothers and babies to help maternal health in the District
Current status: SUCCESS. The bill passed the Council and was signed into law by the Mayor on August 14, 2020.
What does the bill do? The bill prohibits the District government from interfering with patients' reproductive health decisions and prohibits employers from punishing physicians who perform abortions or sterilizations outside of their employment.
MSDC position: We support this legislation as it allows physicians freedom of practice.
Current status: SUCCESS. The bill passed the Committee on Government Operations in January. MSDC submitted testimony at the December hearing, and MSDC member Sara Imershein testified at the hearing. The Council passed the bill and the Mayor signed it into law on March 23, 2020.
What does the bill do? The bill extends coverage for maternal health issues and fertility preservation, creates a Maternal Health Center in the District, and mandates two hours of cultural competence CME for health care providers.
MSDC position: We oppose the bill without changes due to inclusion of mandatory CME and some of the definitions in the bill being medically questionable.
Current status: The bill had a hearing in the Committee on Health in December, with MSDC member Dr. Sara Imershein testifying for MSDC and ACOG.