Health Equity
News, Statements, and Testimony on Health Equity Issues
25th Council session information coming soon.
Committee on Health Passes Prior Auth Reform Bill
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.
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.