Women's Health

Imershein

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!

 

 

DC Physicians Prior Auth Push Gets Response

Mar 15, 2023, 10:20 AM by MSDC Staff
Physician letter asking for a prior authorization reform hearing led to almost immediate results.

 

On Monday, DC physicians sent a letter to the Committee on Health asking for a hearing on DC's prior auth legislation.

Since then, MSDC has heard unofficially a hearing could come as soon as the District budget is done.

The MSDC letter (seen below) outlined key reasons why B25-124 is critical to improving the health of medicine and District residents. The letter's ask is to hold a hearing on the issue, which the Council did not do in 2022.

Committee Chair CM Christina Henderson is a co-introducer of the legislation and co-introduced the 2022 version of the bill.

MSDC will have more updates in the weeks to come, but now is your chance to get involved. Email hay@msdc.org to get timely updates and tips, and sign-up for MSDC's advocacy session in April.

March 10, 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,
[80+ physician names withheld for privacy]

Sample of Legislation MSDC Followed in Women's Health and Maternal Health

(See the whole list of bills here)

Postpartum Coverage Act of 2019 (B23-326)

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.

Strengthening Reproductive Health Protections Act (B23-434)

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.

Maternal Health Care Improvement and Expansion Act (B23-362)

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.