Advocacy Successes

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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.

24th Council Period (2021-2022)

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
23rd Council Period (2019-2020) [see update for entire Council period]

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.
22nd Council Period (2017-2018)

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.
21st Council Period (2015-2016)

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.

 

 

Dr. Alicia Khan Applies Her Unique Experiences to Her Work

Aug 1, 2022, 13:55 PM by Aimee O'Grady
Meet MSDC member and leader Dr. Alicia Khan

Much of a physician’s knowledge in their specialty and general practice is gained from their time spent in the classroom, during residency and fellowship, and throughout practice. But unique life experiences round out every physician.

Alicia Khan’s mother was a practicing OBGYN in Pakistan before she became a mother. Cultural expectations discouraged mothers from working, so when Dr. Khan’s mother had her two daughters, she stopped practicing. “My sister and I recognized early on that we were the reason that our mother stopped practicing medicine. To honor her sacrifice, we both pursued medical careers,” she said. Her sister, Dr. Hannah Goodwin is completing a Fellowship program in a Pediatric ICU.

Drs. Khan and Goodwin were raised in a Pakistani community in Rockville/Gaithersburg, Maryland. “My father was an engineer. Together with my mother’s income, they could have afforded to hire a nanny to raise us, but judgments from the Pakistani community in which we lived discouraged that. It was simply expected that mothers raised their children rather than work.” Understanding and accepting the challenges that her mother faced as a physician and mother helped define Dr. Khan’s career goals.

Her mother’s sacrifice was not the only experience that shaped Dr. Khan’s pursuits. “In college, I lost a close family friend to suicide,” she said. Here too, cultural expectations played a role. “A lot of his suffering was the result of stigma from our community. Many South Asian communities still do not accept the need for good mental healthcare. I was always aware of his mental health struggles but there was so much stigma surrounding the topic, he never accessed resources to overcome it.”

The impact of her mother’s career-ending family planning choices and losing the friend she looked at as a brother had significant impacts on Dr. Khan’s decision to focus on psychiatry, specifically women’s mental health.

In the post-Roe v. Wade era, Dr. Khan feels her services are needed more than ever. “My mother valued what the American culture offered women. She felt that her daughters would not face the same challenges that she did. With the reversal of Roe v. Wade, she feels that things have been made harder again. It is a sad commentary for the United States,” said Dr. Khan.

Still, in her 20s, Dr. Khan has set her goals on changing policies, which requires the energy, enthusiasm, and commitment she brings to the table. Her unique set of life experiences and fresh perspectives are added talents. But she also recognizes that it may not be enough. “I may bring fresh perspectives to discussions about policy, but I also understand that the more experiences I have as I advance in my career will make it possible for me to impact change.”

To that end, she continues her residency at Georgetown Hospital with plans to pursue a women’s mental health fellowship. “I enjoy speaking with patients my age,” said Dr. Khan. “And also enjoy helping young adults and adolescents. It is a difficult time for many people. They are in formative years and in great need of guidance, so it is very rewarding to work with the emerging adult population,” she added.

In the short term, Dr. Khan continues policy writing with AMA and MSDC. With the AMA she passed a policy to standardize domestic violence in emergency departments. She joined MSDC in medical school. “MSDC began a Women in Medicine group that I helped to begin and was the first student to chair it,” she said. Involvement with professional societies like AMA and MSDC helps to broaden her knowledge base and learn from the experiences of other physicians.

To women facing new obstacles that previous generations had hoped to remove, she offers advice. “Never take anything personally. In a setting where you may begin to feel incompetent, recognize that it is more about the other person than it is about yourself. Do not let someone else shape your opinion of yourself.”

To recharge, Dr. Khan, retreats to her apartment where she has realized a talent for propagating plants. “I began filling my apartment with plants during COVID. I now have plants in all stages and multiple generations of the same plant through propagation. I’m a plant grandma,” she joked.

Do you know a physician who should be profiled in the MSDC Spotlight Series? Submit a nomination to Robert Hay at hay@msdc.org for a future story. MSDC membership is encouraged for featured physicians.