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Uniting physicians with purpose and vision to meet the challenges of the 21st century.

WSMA Annual Meeting

Important notice:

Recognizing the increased risks associated with the current fifth wave of COVID-19 infections driven by the Delta variant, the WSMA board of trustees has voted unanimously to move the 2021 Annual Meeting to an all-virtual format. This decision was not made lightly and reflects an overwhelming concern for the safety of our members, their families, hotel staff, and our communities.

At this time, the virtual setting will follow a similar format to the 2020 Annual Meeting, with a fully operative House of Delegates and the meeting open to all who wish to attend. Please note that registration is still open. If you have already registered for the meeting, there is no need to take any action; you will be automatically registered for the new format. If you’d haven’t yet registered, register online.

Need help? Connect with our live help desk. Use the chat feature (available in Session Sync at, email, or call 844.980.1777.

Tips for the WSMA Virtual Annual Meeting

Need help? Connect with our live help desk. Use the chat feature (available in Session Sync at, email, or call 844.980.1777.

Note: During the Q&A portion of Dr. Sheri Fink’s keynote, use the Request for Information option under Seek Recognition to ask a question.

Tips for Saturday’s Reference Committees

Log in at | Links to the committee hearings are on the Info Hub.

  • Tip: Change your Zoom name to your first and last name.
  • Tip: Use Speaker View in Zoom for the best experience.

About the reference committees

WSMA members and delegates are invited to attend reference committee hearings to discuss and debate reports and resolutions due to be considered by the House for action. Parliamentary procedures are not used during reference committee hearings.


Agendas for each reference committee are available under the Resources tab on To consolidate discussion and maximize the productivity of the hearings, your reference committees have grouped items of similar subject matter.

  • Tip: The Session Sync tab will always display the current item of business at the bottom of your screen. You can also click on that item to expand it or open the attached file.


To testify during the reference committee, use the speaker recognition system in to select one of two options:

  • Speak in favor
  • Speak against

You will then be placed in a queue and called on by the reference committee chair when it’s your time to speak.

  • Tip: If you have a question, use the speaker recognition system in and select “question.” You can type your question in the box and wait for the chair to recognize you to ask your question.
  • Tip: Make sure your first and last name appear in Zoom or we can’t unmute you.

When you are called on you will hear a chime and a 90-second timer will begin on your screen. After 90 seconds, you will have a 5-second grace period before your microphone shuts off.

Important: You may speak up to two times on a single issue. If you already testified once on an issue, you won’t be called again until all of those wishing to testify on that issue have had an opportunity to do so.

If you have specific language you would like the reference committee to consider, email the language to staff:

WSMA’s Virtual Reference Committees

Testimony provided on the WSMA website’s virtual reference committees in the weeks leading up to the meeting is available under the Resources tab on

Important: If you have already given testimony in the Virtual Reference Committees, please do not repeat it here. Reference committee members will consider all testimony when formulating their recommendations to the House.

Tips for Sunday’s House of Delegates

Log in at | Links to the meetings are on the Info Hub.

  • Tip: Change your Zoom name to your first and last name.
  • Tip: Use Speaker View in Zoom for the best experience.

About the House of Delegates

The House of Delegates, when considering reports and resolutions, will follow the reports submitted by the reference committees. Reference committee reports will be posted on the WSMA website and under the Resources tab on as soon as they are available.

The House of Delegates follows the rules of parliamentary procedure as defined in “The Standard Code of Parliamentary Procedure.”

  • Tip: Go to the Resources tab on for a helpful guide of motions that may be used during the meeting.

The role of reference committee reports

After the conclusion of reference committee hearings on Saturday, the committees will write reports containing their recommendations for each item of business to be considered by the House.

During the House of Delegates session on Sunday, items of business before the House will be put on a consent calendar, starting with the items in the Report of Reference Committee B, followed by items in the Report of Reference Committee C. The speakers will ask for extractions, and then those items will be discussed and acted upon by the House.

  • Tip: If you are ever in doubt about the current item of business being discussed, go to the Session Sync tab. In addition to seeing the item of business on the top of your screen, you can scroll down to see the text being discussed and even click to open the original file.


To testify during the House of Delegates, use the speaker recognition system in Following parliamentary procedure, you may select from the following:

  • Make a motion to amend
  • Request information
  • Ask a process question
  • Move to close debate
  • Tip: Make sure your first and last name appear in Zoom or we can’t unmute you.
  • Tip: Always identify yourself and state your position clearly.

When you are called on you will hear a 60-second chime and a timer will begin on your screen. If you are still speaking when your time is up, you will have a 5-second grace period before your microphone shuts off.


All voting is handled in through the Session Sync tab. Only delegates will see the voting window in Session Sync. If you are a voting delegate and don’t see the voting window, call the helpdesk.

  • Tip: The active item of business is always at the bottom of the Session Sync screen.
  • Tip: Click “Enable Audio Notification” in the voting panel to hear an audio reminder when it’s your turn to vote.
  • Tip: You can change your vote up until the vote closes. There is no submit button. Your vote is final when the window closes.

Delegate Handbook

Download the 2021 Delegate Handbook (v2)

Version Note: v2 of the Delegate Handbook contains two new documents – the listing of delegates and alternates and the roster of reference committee members.

Navigation Note: The file has bookmarks and links for each of the agenda items, including reports and resolutions. Once you have downloaded and saved the document, it should open with the bookmarks showing on the left side for easy navigation. If for some reason you don’t see the bookmarks, select View, Navigation Panels, and Bookmarks to show the links. You’ll note that you can drill down to individual bookmarks on some items like the WSMA Bylaws and Policy Compendium. Again, you will want to be sure you are viewing it in Acrobat Reader and not online in order for the bookmarks to work. There is a lot of material here and the bookmarks and links should make it more manageable to navigate.

Disclaimer: Reports and Resolutions included in the Delegate Handbook are items to be considered by the House of Delegates. No action has been taken on any of these items. Resolutions are submitted by WSMA delegates/delegations, the WSMA Board of Trustees, and WSMA sections and are informational only until they have been acted upon by the House. The statements and opinions expressed in resolutions are those of the authors and the WSMA makes no representations of any kind about the accuracy of information contained therein. Only those items that have been acted upon by the House can be considered official.

Board of Trustees Candidates

Per the WSMA Bylaws, officers and elected committee members will be voted on by the House of Delegates during the final session of the Annual Meeting on Sunday, Sept. 26. The Nominating Committee’s report is included in the Delegate Handbook as Board of Trustees Report E (Reference Committee B). Members of the House of Delegates can view candidates’ background materials online here. Candidates in contested races (Trustee at Large and Resident Trustee) were invited to submit 2-minute videos which can be found by clicking the link to candidate materials for those races.

Virtual Reference Committees

The WSMA offers password-protected virtual reference committees for those members who aren't able to attend the in-person reference committees, or who wish to review and discuss resolutions prior to the WSMA Annual Meeting. The WSMA also offers a general discussion forum, also available year-round, for members to develop their policy ideas or start a discussion on any general topic.


All meetings will be conducted online. Schedule is subject to change.

Pre-meeting events

Friday, September 24

Noon-4 pm
Executive Committee meeting

6 pm
WSMA Board of Trustees meeting

WSMA Annual Meeting

Saturday, September 25

8:30 am
Opening session of the WSMA House of Delegates

  • In Memoriam
  • Inauguration of incoming 2021-2022 president

8:45 am
KEYNOTE: Lessons Learned from the COVID-19 Response – Sheri Fink, MD, PhD

9:45 am
Apple Awards

10 am
House of Delegates business

  • Credentials reports
  • Nominations from the floor
  • Adoption of the agenda
  • Late resolutions
  • Overview of reference committee process

10:15 am
Reference committee B
Reference committee C will begin 15 minutes after the conclusion of Reference committee B

Sunday, September 26

6:30 am
Reference committee reports available online

7:30 am
All caucuses encouraged to meet via Zoom

8:30 am
Call to Order

  • Overview of process
  • Credentials report
  • Recognition of outgoing president

9:00 am
New president’s speech

9:15 am
House of Delegates Business

  • Reference committees
  • Elections

About the WSMA Annual Meeting

The Annual Meeting of the WSMA House of Delegates (or the WSMA Annual Meeting) is the WSMA's premiere policy-making event, when the approximately 200 voting members of the WSMA House of Delegates gather to debate and determine policy for the association, elect officers and network with colleagues. All are welcome to attend the WSMA Annual Meeting and take advantage of the educational offerings, network and learn more about the association.

All legislative power of the WSMA—including the power to alter, amend or repeal the bylaws—is vested in the House of Delegates. All business of the House is conducted according to parliamentary procedures as outlined in "The Standard Code of Parliamentary Procedure." The speaker of the House serves as parliamentarian. The speaker of the House is Matthew Grierson, MD, of Seattle. The vice speaker of the House is Ray Hsiao, MD, of Seattle.

Policymaking at the meeting is primarily driven by resolutions. A resolution is a proposal asking the WSMA to take a position or act on an issue. Learn more about resolutions and how they help create and guide WSMA policy.

How the House of Delegates operates

The House convenes its opening session on Saturday morning of the WSMA Annual Meeting. At this time, guests are invited to speak to the delegates and all reports and resolutions are referred to reference committees. This is followed by meetings of the reference committees on Saturday.

The House holds a second session on Sunday morning. The reference committees present their reports for consideration by the House on Sunday.

Learn more about the House of Delegates.

Learn more about delegate duties.

Reference committees

The in-person reference committees scheduled at the WSMA Annual Meeting are the key to the deliberations of the House of Delegates. Members of the House and individual members of the WSMA are invited and encouraged to attend these meetings to discuss and debate reports and resolutions due to be considered by the House for action.

Each reference committee is made of three members of the House appointed by the speaker and vice speaker.

The chair of the reference committee has the prerogative to permit non-members of the WSMA to present testimony. Committee meetings are open to the press.

When offering testimony before the reference committee, or on the floor of the House, please identify yourself and the society or organization which you represent. It is helpful, unless raising a point of order or asking a question, if you indicate you are speaking in favor of, or in opposition to, the resolution or report under discussion.

Remember, the reference committee is the most appropriate place for you to express your opinions and those of your constituents. Discussion on the floor of the House on Sunday is generally in response to the recommendations made by the reference committee and is not intended as a replay of more extensive testimony given at the committee hearings.

Most reference committees complete their business in two to three hours on Saturday. The committee reports are published under the direction of the speaker and vice speaker and are available on the WSMA website by Saturday evening and in hard copy by 7 a.m. on Sunday.

Highlights from 2020 Annual Meeting

The 2020 Annual Meeting of the WSMA House of Delegates took place virtually on Sept. 26 and 27. More than 150 physician and physician assistant delegates, representing the full spectrum of organized medicine, met virtually to determine policy, elect its leaders, and conduct the business of your state medical association. Despite the technical challenges of translating parliamentary procedures into a new virtual environment, the virtual two-day meeting was an incredible success.

Enjoy videos of key moments of the 2020 WSMA Annual Meeting below. Find the final report on the actions of the 2020 House of Delegates on our House of Delegates page . And be sure to mark your calendar for the 2021 WSMA Annual Meeting at the Westin Bellevue Hotel, Sept. 25-26, 2021.

CME Credit

The Washington State Medical Association (WSMA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The WSMA designates this Live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity meets the criteria for up to 1 hour of Category I CME credit to satisfy the relicensure requirements of the Washington State Medical Quality Assurance Commission.


Please note that the WSMA may have a photographer and/or videographer on-site at this event to gather imagery for use by the WSMA in its communications materials and channels, as well as for media outreach. These images will be the property of the WSMA, and the WSMA will not sell or otherwise market event imagery. If you have any questions regarding imagery taken at a WSMA event, please contact Milana McLead at 206.441.9762 or

Corporate Partners and Meeting Sponsors

The WSMA wishes to thank the following corporate partners for their generous year-long contributions. For more information, visit our Corporate Partners page, review our corporate partners brochure or contact Jessica Martinson at 206.956.3628 or

Exclusive Premier Partner

Founded in 1981 under the auspices of the WSMA, Physicians Insurance A Mutual Company is the Northwest's leading medical professional liability insurance company, physician-owned and exclusively endorsed to this day by the WSMA. For over 30 years, Physicians Insurance has remained the stable, committed and local insurer for physicians, clinics, facilities and hospitals, providing risk-management consulting, continuing medical education and claims administration services to more than 7,000 members in Washington, Idaho, Oregon and Wyoming.


Founded in 1992 by a network of community health centers (CHCs), Community Health Plan of Washington is a community-governed, not-for-profit health plan. CHPW serves approximately 250,000 Medicaid and Medicare members focusing on whole-person health and addressing health disparities. To learn more, visit on Facebook, Twitter, Instagram, or LinkedIn.

The Pharmaceutical Research and Manufacturers of America (PhRMA) represents the leading innovative biopharmaceutical research companies devoted to discovering and developing medicines that enable patients to live longer, healthier and more productive lives. Since 2000, PhRMA member companies have invested more than $600 billion in the search for new treatments and cures.

Meeting Sponsors

The WSMA wishes to thank the following meeting sponsors. For more information, contact Jessica Martinson at 206.956.3628 or

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