Health Equity
News, Statements, and Testimony on Health Equity Issues
25th Council session information coming soon.
MSDC Applauds Councilmember Cheh and Colleagues for Introducing Prior Authorization Reform Bill
Washington, D.C., February 15, 2022 – The Medical Society of the District of Columbia (MSDC), the largest medical organization in the District representing metropolitan Washington physicians, applauds Councilmember Mary Cheh for introducing B24-0655, the Prior Authorization Reform Amendment Act of 2022, and thanks co-introducers Councilmembers Allen, Bonds, Gray, and Lewis George. MSDC and its allies have fought to streamline prior authorization for ten years. As MSDC member Dr. Angus Worthing said, “This is the tenth anniversary of something that shouldn’t have a tenth anniversary.”
More than forty states have already passed legislation to reform prior authorization, a major impediment to timely patient care that raises the time and cost for treatment. According to the American Medical Association’s (AMA) 2021 nationwide physician survey, 93% of physicians report delays in care due to prior authorization requirements and 82% said prior authorizations can at least sometimes lead to abandoning care. In addition, 34% of physicians report that prior authorizations have led to a serious adverse event for a patient in their care. On average, physicians and their staff spend 13 hours a week (almost two business days) on prior authorizations.
Dr. Kirstiaan Nevin, President of the Medical Society of DC, said “MSDC is grateful to the Councilmembers, especially Councilmember Cheh, who introduced this legislation. Prior authorization is one of the biggest impediments to patient care, and this legislation would allow physicians to treat their patients without unnecessary paperwork and delays. We look forward to working with the Council and partners in passing this important bill.”
Councilmember Cheh’s introduction statement notes that, “prior authorization requirements mean that an insurer is able to overrule the treatment prescribed by a patient’s medical provider – and make that determination without ever seeing the patient or their medical records. While insurers may claim that prior authorization is currently required for only complex procedures, a growing number of basic, everyday treatments require prior authorization.”
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Media Contact:
Pia Duryea
Medical Society of the District of Columbia
duryea@msdc.org
(202) 355-9414
About the Medical Society of the District of Columbia
With over 3,100 members, the Medical Society of the District of Columbia (MSDC) is the largest medical organization representing metropolitan Washington physicians in the District of Columbia. The Medical Society, founded in 1817, is the leading voice of medicine and public health advocate on issues impacting the diverse population of our Nation’s Capital. MSDC is dedicated to ensuring the well-being of physicians and their patients in metropolitan Washington. For more information, visit msdc.org.
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Sample of Health Equity Legislation MSDC Tracked
What does it say? The bill allows for the administration of medicinal marijuana in schools as well as allows students to bring sunscreen to schools and apply it without a prescription.
MSDC position: MSDC supports the language permitting sunscreen application in schools
Current status: A win for DC physicians and public health! The legislation passed the Council in February and was signed by the Mayor. Previous temporary and emergency legislation permitted students to use sunscreen at schools this school year already.
What does it say? The bill requires DC Health to establish an electronic Medical Order for Scope of Treatment registry (eMOST).
MSDC position: MSDC supports this legislation to more easily allow patients to make their treatment orders known.
Current status: A win for the physician community and our patients! The Council passed the bill in December and the Mayor signed it into law on January 16, 2020.
What does it say? The bill would implement a 1.5 cent per ounce tax on the distribution of "sugary" beverages. The money collected from the tax would establish a Healthy People, Healthy Places Open Spaces Grant Program.
MSDC position: MSDC sent a letter to Council Chair Mendelson asking for a hearing to discuss all of the issues around a beverage tax.
Current status: The bill was introduced October 8, 2019 and referred to the Committee on Business and Economic Development and the Committee of the Whole.