PHP and Addiction Resources

The MSDC Physician Health Program is a private, confidential, non-disciplinary program that works to advocate for the health and well-being of all physicians in the metropolitan Washington, DC, area and to safeguard the public.

The Program is HIPAA compliant and protects the confidentiality of participant records as set forth under DC and Federal law. The program is administered by the Medical Society of DC and is separate from the DC Board of Medicine.

Learn more about this program at our Healthy Physician Foundation page

Support Your Colleagues

Do you want to help support your fellow physicians going through their own struggles? The Healthy Physician Foundation supports the PHP and our efforts to supports physicians in need. Your generous gift allows MSDC to continue this important program and extend our reach to all physicians.

Donate here

Committee on Health Passes Prior Auth Reform Bill

Sep 26, 2023, 13:24 PM by MSDC Staff
Today marks a major step in passing DC's first bill to completely regulate the prior auth process within the District.

 

On Tuesday, the Committee on Health marked-up and passed B25-124, the Prior Authorization Reform Amendment Act.

B25-124 is MSDC's highest priority and would enact reasonable limits on prior authorization for the first time ever in the District. Today moves the bill one step closer to reality.

Currently the District is one of only nine states without any prior authorization restrictions in law. This bill would, among other things, prevent prior auths for cost alone, set time limits for prior auth considerations, prohibit prior auth for emergency care and medication assisted treatment, and require insurers to publish prior auth guidance publicly.

The marked-up bill makes some changes to the original bill:

  • Exempt Medicaid plans from the prohibition on prior auth solely due to cost to permit substitutes from drug formularies.
  • Prohibit prior auth for medication assisted treatment.
  • Permit DHCF to review prior authorizations at a different schedule than private insurers.
  • Among others.

The next step is for the Council Chair (Phil Mendelson) to add the bill to the Council's legislative agenda. If the bill is added to the consent agenda, it requires two votes. If the bill is added to the regular agenda, it will require three. The Chair noted today that, despite this bill being circulated since last year, the Department of Behavioral Health and Department of Healthcare Finance have finance concerns that may require appropriations to enact certain provisions.

For more information about the bill and how to be engaged with the process, visit msdc.org/priorauth.