Advocacy Successes
Physician Advocacy Successes
Good health policy is made with physicians in the discussion.
MSDC, working with its members, partners, and other organizations, has won major policy victories to help its members practice medicine. Below is a sampling of those victories. Do you want to be a vital part of the next policy victory helping improve the health of the District? Contact us today.
Opioid Policy
- MSDC was added to the opioid fund oversight panel by the Council in its legislation authorizing the oversight body
Scope of Practice
- MSDC supported legislation to ban the sale of flavored electronic smoking devices and restrict the sale of electronic smoking devices.
- Working with a coalition, MSDC added funding to the DC budget to support the hiring of more license specialists to help with the delay in processing medical licenses.
Women's Health
- B24-143, to regulate certified midwives, passed the Council with MSDC's support
Health Equity
- Mayor Muriel Bowser signs into law the Electronic Medical Order for Scope of Treatment Registry Amendment Act of 2019. The eMOST Registry Amendment Act permits the creation of an electronic database of advanced directive wishes for District residents that can be tied into the health information exchange.
- Mayor Bowser signs into law the School Sunscreen Safety Temporary Amendment Act of 2019. The bill permits students to bring and apply sunscreen during the 2019-2020 school year.
- MSDC comments on the importance of funding United Medical Center (UMC) and health facilities in Wards 7 and 8 in the mayor's budget. Those comments are used almost verbatim in CM Trayon White's comments advocating for funding of United Medical Center.
Scope of Practice
- DC Health publishes draft regulations removing the 3 mandatory CME hours for HIV/AIDS awareness and replaces them with a requirement to fulfill 10% of mandatory CME hours with a topic from a public health priority list. DC Health then waived the requirement for 2020.
- The Strengthening Reproductive Health Protections Act of 2020 is signed into law with MSDC support. The bill prohibits government interference in reproductive decisions between a patient and doctor, and prohibits employers from penalizing physicians for practicing reproductive medicine outside of their work hours.
- The Mayor's Commission on Healthcare Systems Transformation releases its final recommendations. One recommendation is for the District to explore options to make providing health care more affordable, including financial relief for higher malpractice insurance rates.
- The Council removes "telephone" from the list of prohibited types of telemedicine to allow physicians and other providers to be reimbursed for telephone telemedicine appointments after MSDC and health community advocacy.
- MSDC worked with the Council to modify onerous language in the Health Care Reporting Amendment Act that potentially would have penalized physicians from seeking help for substance abuse or addiction issues.
Opioid/Drug Policy
- The Department of Health Care Finance (DHCF) waives prior authorization for key medication assisted treatments (MAT) treating substance use disorder patients in Medicaid.
- The Mayor signed into law The Access to Biosimilars Amendment Act of 2019, a top MSDC priority as it would help prescribers to prescribe more cost-effective drugs for patients.
Behavioral Health
- The Behavioral Health Parity Act of 2017, a major priority for MSDC and DCPA, officially becomes law. The legislation requires all health benefit plans offered by an insurance carrier to meet the federal requirements of the Wellstone/Domenici Mental Health Parity and Addiction Equity Act of 2008.
Health Equity
- The District Council passes B22-1001, The Health Insurance Marketplace Improvement Amendment Act of 2018. The bill prohibits the sale of Short Term, Limited Duration health plans and Association Health Plans (AHPs) in the DC Health Benefits Exchange.
Scope of Practice
- DC joins 28 other states in the Interstate Medical Licensure Compact with B22-177 becoming law. The IMLC is designed to ease physician licensure in multiple states.
Women's Health
- The Maternal Mortality Review Committee is established by law. The Committee is responsible for finding solutions to maternal health crisis in the District. District physicians are an important part of this vital committee.
- B22-106, The Defending Access to Women's Health Care Services Amendment Act, becomes law. The act requires insurers to cover health care services like breast cancer screening and STI screenings without cost-sharing.
Opioid Policy
- Right before the Council adjourned for the session, it passed B21-32, the Specialty Drug Copayment Limitation Act. The bill limits cost shifting by payers for prescription drugs.
Behavioral Health
- B21-0007 passes the Council. The Behavioral Health Coordination of Care Amendment Act of 2016 permitted the disclosing of mental health information between a mental health facility and the health professional caring for the patient.
Women's Health
- MSDC was proud to have worked on B21-20. The law requires payers to cover up to 12 months of prescription contraception, advancing women's health and equality.
Advocacy curriculum: Tips and tricks for meeting with a legislator
You are walking up the steps of the Russell Senate Office Building. You are about to meet with a U.S. Senator who is undoubtedly the frontrunner for their party's presidential nomination. Their autobiography is a #1 bestseller, they appear on every Sunday talk show, and Hollywood celebrities ask to have their picture taken with them. You are likely about to say hello to the next President of the United States.
You are walking up the steps of the Wilson Building. You are about to meet with a new Councilmember elected to their first term. They are new to politics and just learning how to be an effective Councilmember in the District. Their political future is unknown - they could be Mayor one day or could be another one-term member.
As an advocate at the state and national level, you will likely have both types of meetings, with many situations in between. In advocacy, however, how you approach both of these situations is essentially the same. When you are meeting face-to-face with any legislator, the elements of a successful meeting are the same.
In our May Advocacy Curriculum article, we will review some tips and tricks for a successful meeting with a legislator. These tips work for a meeting with a local, state, or national legislator. And, with more legislatures opening up to visitors, these tips will be as relevant as ever.
Before the meeting: preparation
A common mistake going into a meeting is that you need to know everything about an issue you're discussing and need to overprepare. A related mistake is assuming you can just "wing it" in a discussion and use your charm or persuasion to convince a lawmaker to agree with you.
Before your meeting, you should spend time thinking through the issue you'll be discussing. Write notes and even sketch a conversation if that would help you. Think about your elevator pitch - what you'd say if you were in an elevator with the person and you only have the time between floors to convince them. Gather the background and facts to support your argument, and make note of them to bring up in the conversation.
In addition to researching your issue, make sure you research your meeting location. Many a meeting has been derailed when the person visiting goes to the wrong location. In Congress, that can end your meeting right there if you are in another building entirely. Make sure you confirm the room number and location, then see where it is in the building. Most legislative buildings have a fairly common-sense room numbering system. But keep in mind you may be asked to meet in a committee room, common space, or even outside the legislator's office.
Day of: Look the part
I cannot overemphasize how important it is to look the part at your meeting. As a physician or medical student, dress for work. While scrubs may be a little too casual, your whitecoat or other physician related attire creates a visual connection to your profession. There's a reason many physician organizations hold "Whitecoats on the Hill" days in Congress.
On the day of the meeting, plan on arriving a little early. Even assuming the legislator will likely be late, you want to aim to be 5 minutes early to the meeting to be respectful of their time. Bring your notes and, if relevant, any handouts for the meeting. In the past, this would mean a "one pager" that summarizes your issue but those are less useful now. While waiting, take a minute to look over your notes and remember the points you wanted to make.
Your meeting: Making the case
Your time comes and you meet with the legislator. Here are a few basic tips for success:
- You're on their time, so when they imply or say they need to wrap this up, wrap it up.
- List facts and make good arguments that you would not be embarrassed to see in print or online.
- Be ready to respond to the question of "what would people opposed to this say" - it comes up more often than not
- Relate the issue to the legislator's district. How will the people they represent be impacted by this issue? If it is an at-large DC Councilmember, that's easier research
- Never, ever tell a lie
- If you do not know something, simply say, "I don't know the answer to that, but I will find you an answer and follow-up" (and do that)
- Be respectful to the staff person in the room and treat that person like a person as well.
- Ask to have your picture taken, and if you plan on posting to social media, let them know.
After the meeting: Build on your chat
After you leave the meeting, begin thinking about next steps. If you promised more information, send the legislator and their staff that information. If you made the visit on behalf of an organization, share with that organization what you learned. Continue to follow-up with the office on the issue within the timeframes discussed.
Finally, it may be a bit old fashioned, but a thank you is a great way to show your appreciation for the meeting and create a lasting relationship. Address and send to the lawmaker, or to the person who set-up the meeting for them to replay the message, and express your appreciation for their time. Lawmakers do not get thanked nearly enough for doing what they do.