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<h5>January 22, 2021</h5>
<h2>2021 Legislative Session Update: Week 1</h2>
<h3>Overview</h3>
<p>
The 2021 legislative session convened on Monday, Jan. 11 for a virtual
"long session," lasting 105 days. During session, the WSMA Outreach and
Advocacy Report will be disseminated on a weekly basis and will include
updates about WSMA's advocacy efforts and opportunities for engagement.
Legislators will spend the majority of the first few weeks of session
in virtual committee hearings, which will be streamed live and archived
on
<a href="https://www.tvw.org/">TVW</a> for your viewing.
</p>
<p>
The Washington State National Guard was dispatched to the Capitol in
advance of the first day of the 2021 legislative session, establishing
a fenced perimeter around several buildings as rallies had been planned
throughout the week. Gov. Jay Inslee has now extended these security
measures at the Capitol through the presidential inauguration on Jan.
20. State legislators and staff are largely working remotely, although
some members were needed on campus this week to vote on rules
establishing the ability to convene session virtually.
</p>
<p>
Gov. Inslee gave the first State of the State address since his
reelection in November, which focused on the COVID-19 pandemic, the
state's response efforts, and his 2021 legislative agenda. Following
public health guidelines and new security measures, the governor
delivered the address
<a href="https://www.youtube.com/watch?reload=9&amp;feature=youtu.be&amp;utm_medium=email&amp;utm_source=govdelivery&amp;v=FaOyBG65K1I"><strong>via video.</strong> </a>New members were sworn in, notably Sen. T'wina Nobles from the 28th
Legislative District who will be the Senate's only Black member and
Jessica Bateman from the 22nd Legislative District who will serve as
the new vice chair of the House Health Care Committee.
</p>
<p>
In partnership with a coalition of organizations representing the
physician and physician assistant communities, WSMA sent the attached
letter to all members of the Legislature. The letter outlines WSMA's
top budget priority for the 2021 legislative session –
restoration of the primary care, pediatric, and behavioral health
Medicaid rate reimbursement adjustments that passed during the 2020
legislative session and were subsequently vetoed as a result of the
pandemic. WSMA has dedicated years of advocacy on this issue, and it is
viewed as the first step toward a broader rate adjustment for all care
delivered through the state's Medicaid program.
</p>
<p>
Later in the week, the Legislature held its first virtual committee
hearings, testing the ability for the Legislature to perform business
as usual in a virtual setting. While many bills were prefiled for
introduction, there is a backlog at the Code Reviser's Office (the
official bill drafting arm of the Legislature) that will impact the
ability for bills to get scheduled for committee hearings. This may
result in increased work sessions, such as Friday's work session on the
impact of the COVID-19 pandemic on health care delivery in the Senate
Health and Long Term Care Committee.
</p>
<p>Important dates to keep in mind:</p>
<ul>
<li>Monday, Jan. 11: First day of the 2021 legislative session</li>
<li>
Tuesday, Feb. 9 at 5:30 p.m.: WSMA Legislative Summit,
<a href="https://wsma.org/WSMA/Events/Legislative_Summit/WSMA/Events/WSMA_Legislative_Summit/Legislative_Summit.aspx?hkey=795731a5-79ba-45b0-b78b-b9dfbfc336e5">register here!</a>
</li>
<li>
Monday, Feb. 15: policy cutoff deadline, meaning that bills that
have not been passed out of policy committees are not eligible for
further consideration at this stage*
</li>
<li>
Tuesday, March 9: House of Origin cutoff deadline, meaning that
bills must have passed through the chamber it was introduced in
(House or Senate) to remain viable*
</li>
<li>Saturday, March 20: state revenue forecast</li>
<li>
Sunday, April 25: Sine die, the last day of legislative session
</li>
</ul>
<p>
*Bills deemed necessary to implement the budget, or NTIB, are not
subject to these cutoff deadlines.
</p>
<h3>
A review of priority legislative hearings during the week of Jan. 11-15
</h3>
<p>
It was a light week for bill hearings; we expect that hearings will
pick up next week as more bills have been introduced. HB denotes a
House bill and SB denotes a Senate bill.
</p>
<ul>
<li>
<strong>Student health plans </strong>–
<a href="https://app.leg.wa.gov/billsummary?BillNumber=1009&amp;Year=2021&amp;Initiative=False"><strong>HB 1009</strong></a>, requires student health plans to cover reproductive services.
<ul>
<li>
There was a hearing in the House Health Care Committee on Jan.
13, and the bill was approved by the committee on Jan. 14. The
WSMA supports this legislation.
</li>
</ul>
</li>
<li>
<strong>Acupuncture and Eastern medicine </strong>–
<a href="https://app.leg.wa.gov/billsummary?BillNumber=5018&amp;Year=2021&amp;Initiative=False"><strong>SB 5018</strong></a>, modifies provisions relating to the practice of acupuncture and
Eastern medicine.
<ul>
<li>
There was a hearing in the Senate Health Care Committee on
Jan. 13, and the bill was approved by the committee on Jan.
15. This bill is similar to legislation that was passed during
the 2020 legislative session and subsequently veto for
technical reasons. The WSMA is monitoring this legislation.
</li>
</ul>
</li>
<li>
<strong>Colon hydrotherapy </strong>–
<a href="https://app.leg.wa.gov/billsummary?BillNumber=5124&amp;Year=2021&amp;Initiative=False"><strong>SB 5124</strong>, </a>establishes colon hydrotherapist as a new certified health
profession under the Board of Naturopathy
<ul>
<li>
There was a hearing in the Senate Health Care Committee on
Jan. 13, and the bill was approved by the committee on Jan.
15. The WSMA is monitoring this legislation.
</li>
</ul>
</li>
<li>
<strong>Capital gains tax –</strong>
<a href="https://app.leg.wa.gov/billsummary?BillNumber=5096&amp;Initiative=false&amp;Year=2021"><strong>SB 5096</strong></a>, establishes a state capital gains tax.
<ul>
<li>
There was a hearing in Senate Ways and Means committee on Jan.
14. The WSMA is monitoring this legislation.
</li>
</ul>
</li>
<li>
<strong>Nonprofit corporations –</strong>
<a href="https://app.leg.wa.gov/billsummary?BillNumber=5034&amp;Initiative=false&amp;Year=2021"><strong>SB 5034</strong></a><strong>, </strong>creates numerous regulations on the operations
of non-profit corporations.
<ul>
<li>
There was a hearing in the Senate Law and Justice committee on
Jan. 14, and the bill is scheduled for executive session on
Jan. 21. The WSMA is monitoring this legislation.
</li>
</ul>
</li>
</ul>
<ul>
<li>
<strong>Low carbon fuel standard –</strong>
<a href="https://app.leg.wa.gov/billsummary?BillNumber=1091&amp;Initiative=false&amp;Year=2021"><strong>HB 1091</strong></a>, directs the Department of Ecology to adopt rules establishing a
clean fuels program to limit greenhouse gas emissions.
<ul>
<li>
There was a hearing in the House Environment and Energy
Committee on Jan. 14 and the bill is scheduled for executive
session on Jan. 21. The WSMA supports this legislation.
</li>
</ul>
</li>
<li>
<strong>Suicide fatality reviews –</strong>
<a href="https://app.leg.wa.gov/billsummary?BillNumber=1074&amp;Initiative=false&amp;Year=2021"><strong>HB 1074</strong></a>, allows local health departments to establish multidisciplinary
overdose and suicide fatality review teams to review overdose or
suicide death, and develop strategies for their prevention.
<ul>
<li>
There was a hearing in the House Health Care Committee on Jan.
14 and the bill is scheduled for executive session on Jan. 20.
The WSMA is monitoring this legislation.
</li>
</ul>
</li>
<li>
<strong>Living donor act </strong>–
<a href="https://app.leg.wa.gov/billsummary?BillNumber=5003&amp;Year=2021&amp;Initiative=False"><strong>SB 5003</strong></a>, generally prohibits insurers from discriminating against
individuals due to their status as a living organ donor.
<ul>
<li>
There was a hearing in the Senate Health Care Committee on
Jan. 15. The WSMA supports this legislation.
</li>
</ul>
</li>
<li>
<strong>Involuntary commitment –</strong>
<a href="https://app.leg.wa.gov/billsummary?BillNumber=5073&amp;Initiative=false&amp;Year=2021"><strong>SB 5073</strong></a>, modifies numerous provisions related to the state's involuntary
commitment law.
<ul>
<li>
There was a hearing in the Senate Health Care Committee on
Jan. 15 and the bill is scheduled for executive session on
Jan. 22. The WSMA is monitoring this legislation.
</li>
</ul>
</li>
<li>
<strong>Civil commitment transition teams –</strong>
<a href="https://app.leg.wa.gov/billsummary?BillNumber=5071&amp;Initiative=false&amp;Year=2021"><strong>SB 5071</strong></a>, revises and expands provisions for the conditional release of
individuals who are under civil commitment.
<ul>
<li>
There was a hearing in the Senate Health Care Committee on
Jan. 15 and the bill is scheduled for executive session on
Jan. 22. The WSMA is monitoring this legislation.
</li>
</ul>
</li>
<li>
<strong>Safe station pilot program –</strong>
<a href="https://app.leg.wa.gov/billsummary?BillNumber=5074&amp;Initiative=false&amp;Year=2021"><strong>SB 5074</strong></a>, creates a grant program under the Health Care Authority for the
creation of "safe station" programs, under which fire departments
can employ certified SUD peer specialists (among others) to provide
for screenings.
<ul>
<li>
There was a hearing in the Senate Behavioral Health
Subcommittee on Jan. 15 and the bill is scheduled for
executive session on Jan. 22. The WSMA is monitoring this
legislation.
</li>
</ul>
</li>
</ul>
<h3>Looking forward to next week</h3>
<p>
A look ahead at priority work sessions and legislative hearings during
the week of Jan. 18– 22.
</p>
<h4>Public hearings will be held on (subject to change):</h4>
<p>
<a href="https://app.leg.wa.gov/billsummary?BillNumber=1129&amp;Year=2021&amp;Initiative=false"><strong>HB 1129</strong> </a>- concerning international medical graduates
</p>
<p>
<a href="https://app.leg.wa.gov/billsummary?BillNumber=1141&amp;Initiative=false&amp;Year=2021"><strong>HB 1141</strong> </a>- concerning death with dignity
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoyMTIsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzI0ODEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj0xMTQ4JlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.1xNDIufDPVGpi4as0T9HO8Q68bjBF7rDFTvNNu_E_sw/s/981945402/br/93090421089-l"><strong>HB 1148</strong> </a>- concerning patients in acute care hospitals
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoyMTMsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzI0ODEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj0xMTUyJlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.sUlJXfTWwJzqJqZFMf1CynmYtzOk4qZN_YMSMXIGoHs/s/981945402/br/93090421089-l"><strong>HB 1152</strong> </a>- concerning comprehensive public health districts
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoyMTQsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzI0ODEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj0xMTYwJlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.RW01u6E016S9mOjHvBrwnMkMy7EuqqbWx1G26W1hW1I/s/981945402/br/93090421089-l"><strong>HB 1160</strong> </a>- concerning health provider contracts
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoyMzEsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzI0ODEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj0xMDc2JlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.5ZGjgifja1KjCcGAItDIyCKtKQ8okp__m9HEazybPz8/s/981945402/br/93090421089-l"><strong>HB 1076</strong> </a>- concerning qui tam
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxMTAsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzQ0NTEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj01MTk1JlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.BO6hqZ2f_4TenISr7Ai8T2bazvDOEzXD8MktznEm31s/s/981945402/br/93091108551-l"><strong>SB 5195</strong> </a>- Concerning prescribing opioid overdose reversal medication
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxNTEsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzQ0NTEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj01MDUyJlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.jMHNIno5453kNFrv-dmpDxo3yrebYOJbi57cPAXSD2o/s/981945402/br/93091108551-l"><strong>SB 5052</strong> </a>- Concerning the creation of health equity zones
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxNTUsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzQ0NTEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj01MDY4JlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.NEWBPMPdwLltAaSkMcXT5NhgVM-6MG7XAGTs5j25Hcs/s/981945402/br/93091108551-l"><strong>SB 5068</strong> </a>- Improving maternal health outcomes by extending coverage during the
postpartum period.
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxNTYsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzQ0NTEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj01MTQwJlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.YFEujuazWkK78j_EGaAqZm1OAAqGdlbCui_C3gprr94/s/981945402/br/93091108551-l"><strong>SB 5140</strong> </a>- Protecting pregnancy and miscarriage-related patient care
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxNTksInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzQ0NTEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj01MDIwJlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.m9SgHEqH1lR94TjTGQdB5lsDcUXqpzIZ5sVhBgaHiOA/s/981945402/br/93091108551-l"><strong>SB 5020</strong> </a>- Assessing a penalty on unsupported prescription drug price increases
to protect the safety, health, and economic well-being of Washington
residents
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxNjAsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzQ0NTEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj01MDc1JlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.P9ndIr8NnP3LECPo3hVDAHx28hHgENoqOIChZ2MC2BM/s/981945402/br/93091108551-l"><strong>SB 5075</strong> </a>- Expanding access to pharmacy services
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxNjEsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzQ0NTEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj01MDc2JlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.kU0m-Z571xlw5o3lUpmuThWiDg51T-Sed7UNZVikmqA/s/981945402/br/93091108551-l"><strong>SB 5076</strong> </a>- Concerning mail order prescription services
</p>
<p>
<a href="https://lnks.gd/l/eyJhbGciOiJIUzI1NiJ9.eyJidWxsZXRpbl9saW5rX2lkIjoxOTUsInVyaSI6ImJwMjpjbGljayIsImJ1bGxldGluX2lkIjoiMjAyMTAxMTQuMzMyNzQ0NTEiLCJ1cmwiOiJodHRwOi8vYXBwLmxlZy53YS5nb3YvYmlsbHN1bW1hcnk_QmlsbE51bWJlcj01MTE1JlllYXI9MjAyMSZJbml0aWF0aXZlPUZhbHNlIn0.qDNeGcYJ7QsTmsm77CZ8kFbdBDsSQQv2mtSOvepZ5FU/s/981945402/br/93091108551-l"><strong>SB 5115</strong> </a>- Establishing health emergency labor standards
</p>
<h3>Priority proclamations extended to Jan. 19</h3>
<p>
The Washington State Legislature extended Gov. Jay Inslee's
proclamation temporarily requiring telemedicine payment parity through
Dec. 31. Provisions of
<a href="https://app.leg.wa.gov/billsummary?BillNumber=5385&amp;Initiative=false&amp;Year=2019"><strong>Senate Bill 5385</strong> </a>requiring payment parity from state-regulated health plans took effect
on Jan. 1, making telemedicine payment parity effectively permanent in
Washington state. Other proclamations will continue to require
extensions to remain effective.
</p>
<p>
WSMA priority proclamations extended through
<strong>Jan. 19 </strong>include:
</p>
<p>
<a href="https://www.governor.wa.gov/sites/default/files/proclamations/20-32%20-%20COVID-19%20DOH%20Healthcare%20Worker%20Licensing%20%28tmp%29.pdf">Proclamation 20-32</a>
concerning health care worker licensing requirements.
</p>
<p>
<a href="https://www.governor.wa.gov/sites/default/files/proclamations/20-36%20-%20COVID-19%20-%20DOH%20Health%20Care%20Facilities-Hand%20Sanitizer%20%28tmp%29.pdf">Proclamation 20-36</a>
concerning the Certificate of Need program.
</p>
<p>
During the pandemic, the Office of the Insurance Commissioner has
issued several emergency orders. The following were extended:
</p>
<p>
Expires <strong>Jan. 23</strong>:
<a href="https://www.insurance.wa.gov/sites/default/files/documents/emergency-order-number-20-01-extension-2.pdf?utm_content&amp;utm_medium=email&amp;utm_name&amp;utm_source=govdelivery&amp;utm_term">Emergency order 20-01</a>, which requires insurers to waive deductibles and copays for any
consumer requiring COVID-19 testing and suspends prior authorization
requirements for the testing and treatment of COVID-19.
</p>
<p>
Expires <strong>Feb. 7</strong>:
<a href="https://www.insurance.wa.gov/sites/default/files/documents/emergency-order-20-02_3.pdf">Emergency order 20-02</a>, regarding health insurers expanding telehealth and other coverages.
</p>
</div> | 1/22/2021 11:29:29 AM | 1/22/2021 12:00:00 AM |
| covid_19_vaccine_health_equity_resources | COVID-19 Vaccine Health Equity Resources | Advocacy | Shared_Content/News/Membership_Memo/2021/January_21/covid_19_vaccine_health_equity_resources | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/January/Doctor-Patient-Exam-Room-645x425px.jpg" class="pull-right" alt="doctor and patient in exam room" />
</div>
<h5>January 21, 2020</h5>
<h2>
COVID-19 Vaccine Health Equity Resources
</h2>
<p>
Public confidence in and willingness to receive the COVID-19 vaccines will determine the outcome of this mass-scale public health intervention. As public vaccination begins in Washington, the WSMA will pay particular attention to amplifying resources targeted to minority communities disproportionally impacted by the disease, as part of our effort to support health care's COVID-19 response.
</p>
<p>
The following resources from the <a href="https://coronaviruspreventionnetwork.org/about-covpn/">COVID-19 Prevention Network (CoVPN)</a> were provided courtesy of Fred Hutchinson Cancer Research Center.&nbsp;</p>
<h3>
Community Forum with Dr. Kizzmekia Corbett: Everything You Should Know About COVID-19 Vaccines
</h3>
<p>
On Jan. 27, we invite you to join us and Dr. Kizzmekia Corbett, leading scientist for the development of the COVID-19 vaccine, for a community forum to discuss what you should know about COVID-19 vaccines. Learn more and register <a href="https://urbanhealth.jhu.edu/upcoming-events/covidvaccine/covid19vaccines.html">here</a>.
</p>
<h3>
COVID-19 Vaccine Recommendations and Research with Children and Pregnant Persons
</h3>
<p>
The American Academy of Pediatrics has updated the FAQs on its website to include information about vaccine recommendations and research with children and pregnant persons. You can check out those FAQs <a href="https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/covid-19-vaccine-frequently-asked-questions/">here</a>.
</p>
<h3>
COVID Vaccine Matters
</h3>
<p>
Dr. Larry Corey and Dr. Chris Beyrer of the COVID-19 Prevention Network have penned a series of blogs on the Johns Hopkins Coronavirus Resource Center, which can be found <a href="https://coronavirus.jhu.edu/vaccines/blog">here</a>.
</p>
<h3>
Community Engagement Materials Menu (updated Jan. 4, 2021)
</h3>
<p>
The CoVPN created many community engagement materials to help educate communities about COVID-19 and the research happening. You can access all of the CoVPN Community Engagement materials that have been created and share with your friends, colleagues, and communities via a secure Dropbox <a href="https://www.tinyurl.com/CoVPN-Assets">here</a> (Password: CoVPNTria!$) or see the attached menu document. This menu update includes an mRNA Info Sheet, and several infographics about mRNA vaccines (as JPEGs and ideal for social media sharing/posts).
</p>
<h3>
Iman and COVID-19
</h3>
<p>
This series was developed to address the concerns of Muslim communities regarding COVID-19 and COVID-19 research. The sessions are recorded and available on the CoVPN Facebook page <a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.facebook.com_PreventCOVID19_live_&amp;d=DwMFaQ&amp;c=eRAMFD45gAfqt84VtBcfhQ&amp;r=hoeLWrgkcGp-453_2gPJ5DNr-hknzs9C67Xd38SC5BU&amp;m=QBaH8NdaLJjRj4vj0X40c-CvI0ND99GY35NTC0DvHiU&amp;s=-0Qg9qQium9mlVEcFVDKbIsYMskBlyUuVCX6CKB535g&amp;e=">here</a>.
</p>
<h3>
PANDEMIA Series
</h3>
<p>
This series was developed in partnership with the Latino Commission on AIDS to address the concerns of Latinx communities regarding COVID-19 and the COVID-19 vaccine trials. The session recordings of past episodes are available on the CoVPN YouTube page <a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.youtube.com_channel_UCpOWHfd2CjhIhaITS4vfueA&amp;d=DwMFaQ&amp;c=eRAMFD45gAfqt84VtBcfhQ&amp;r=hoeLWrgkcGp-453_2gPJ5DNr-hknzs9C67Xd38SC5BU&amp;m=QBaH8NdaLJjRj4vj0X40c-CvI0ND99GY35NTC0DvHiU&amp;s=9_i7u9hTW1lKxN8l6Xv_toBBKu31OfAAMBbGbvFZRgk&amp;e=">here</a>.
</p>
<h3>
COVID in Black Series
</h3>
<p>
This series was developed to address the concerns of Black communities regarding COVID-19 and the COVID-19 vaccine trials. The session recordings of past episodes can be found on the CoVPN YouTube page <a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.youtube.com_channel_UCpOWHfd2CjhIhaITS4vfueA&amp;d=DwMFaQ&amp;c=eRAMFD45gAfqt84VtBcfhQ&amp;r=hoeLWrgkcGp-453_2gPJ5DNr-hknzs9C67Xd38SC5BU&amp;m=QBaH8NdaLJjRj4vj0X40c-CvI0ND99GY35NTC0DvHiU&amp;s=9_i7u9hTW1lKxN8l6Xv_toBBKu31OfAAMBbGbvFZRgk&amp;e=">here</a> and on the CoVPN Facebook page <a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.facebook.com_PreventCOVID19_live_&amp;d=DwMFaQ&amp;c=eRAMFD45gAfqt84VtBcfhQ&amp;r=hoeLWrgkcGp-453_2gPJ5DNr-hknzs9C67Xd38SC5BU&amp;m=QBaH8NdaLJjRj4vj0X40c-CvI0ND99GY35NTC0DvHiU&amp;s=-0Qg9qQium9mlVEcFVDKbIsYMskBlyUuVCX6CKB535g&amp;e=">here</a>.
</p>
<p>
<a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.facebook.com_113093058708720_videos_145964847321739&amp;d=DwMFaQ&amp;c=eRAMFD45gAfqt84VtBcfhQ&amp;r=hoeLWrgkcGp-453_2gPJ5DNr-hknzs9C67Xd38SC5BU&amp;m=QBaH8NdaLJjRj4vj0X40c-CvI0ND99GY35NTC0DvHiU&amp;s=iTU1HQbQ3CPJvKvayMX6ktsismwYa6fZAV3Qgg0_iDE&amp;e=">The COVID-19 Vaccine and the Black Community</a> was an informative discussion on COVID-19 vaccines and clinical trials organized by Alpha Phi Alpha, Inc. and features Dr. Kizzmekia Corbett and Dr. Barney Graham (NIH), Dr. Wayne Frederick (Howard University), and Dr. Wayne Riley (formerly with Meharry Medical College), along with other Black health experts and leaders.
</p>
<p>
<a href="https://urldefense.proofpoint.com/v2/url?u=https-3A__www.facebook.com_watch_-3Fv-3D443922446740843&amp;d=DwMFaQ&amp;c=eRAMFD45gAfqt84VtBcfhQ&amp;r=hoeLWrgkcGp-453_2gPJ5DNr-hknzs9C67Xd38SC5BU&amp;m=QBaH8NdaLJjRj4vj0X40c-CvI0ND99GY35NTC0DvHiU&amp;s=qdGhZSGa6ZREh_QASoWshFu8I0SJOyrmaDcW4cLp2X8&amp;e=">Making It Plain: What Black America Needs to Know about COVID-19 and Vaccines</a> was a powerful town hall discussion hosted by leading Black health, faith, and social organizations to address questions and concerns from Black communities.
</p>
</div> | 1/19/2021 12:26:47 PM | 1/21/2021 12:00:00 AM |
| doh_submits_report_on_psychologist_prescriptive_authority_to_legislature | DOH Submits Report on Psychologist Prescriptive Authority to Legislature | Advocacy | Shared_Content/News/Membership_Memo/2021/January_21/doh_submits_report_on_psychologist_prescriptive_authority_to_legislature | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/January/Prescription-pad-645x425px.jpg" class="pull-right" alt="Prescription bottle and pad" />
</div>
<h5>January 21, 2020</h5>
<h2>
DOH Submits Report on Psychologist Prescriptive Authority to Legislature
</h2>
<p>
The Washington State Department of Health has submitted to the Legislature its <a href="https://www.doh.wa.gov/Portals/1/Documents/2000/631086-PsychPrescripAuthSunrise.pdf" target="_blank" rel="noreferrer">report regarding the proposal to add prescriptive authority to psychologists' scope of practice</a>. The final report finds that the proposal submitted by the Washington State Psychological Association does not meet the sunrise criteria and is therefore not supported by the Department of Health. The WSMA opposes efforts to expand nonphysician practitioners' prescriptive authority and any scope of practice increases that do not stipulate education and training commensurate with what a physician receives. We <a href="[@]Shared_Content/News/Membership_Memo/20200924/wsma_submits_final_comments_on_doh_draft_report_denying_psychologist_prescriptive_authority">submitted written comments</a> outlining our concerns on the initial proposal, as well as on the draft report. We are pleased with the DOH's final recommendation as sunrise reviews can often serve as the basis for future legislation.
</p>
</div> | 1/19/2021 12:26:58 PM | 1/21/2021 12:00:00 AM |
| hhs_expands_access_to_medication_assisted_treatment_for_opioid_use_disorder | HHS Expands Access to Medication Assisted Treatment for Opioid Use Disorder | Advocacy | Shared_Content/News/Membership_Memo/2021/January_21/hhs_expands_access_to_medication_assisted_treatment_for_opioid_use_disorder | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/January/Buprenorphine-Butrans10mcg_645px.jpg" class="pull-right" alt="Butrans packets" />
</div>
<h5>January 21, 2020</h5>
<h2>
HHS Expands Access to Medication Assisted Treatment for Opioid Use Disorder
</h2>
<p>
Marking a major milestone in addiction treatment, the Department of Health and Human Services has issued updated practice guidelines that willallow all physicians to prescribe buprenorphine for opioid use disorder. The changes align with policy passed by the WSMA House of Delegates and subsequent WSMA federal advocacy on the issue. The following is a brief summary of the changes.
</p>
<p>
Regulatory changes on buprenorphine waiver include:
</p>
<ul>
<li><strong>Who it applies to:</strong> All physicians with a DEA license can prescribe buprenorphine under these guidelines. Other qualifying practitioners (such as nurse practitioners and physician assistants) will still need to adhere to the normal DATA 2000 waiver protocols.</li>
</ul>
<ul>
<li><strong>Training or special certification requirements</strong>: Under this exemption, physicians no longer have to undertake the eight-hour waiver training or prove they hold an applicable certification from a designated professional body.</li>
</ul>
<ul>
<li><strong>Counseling and ancillary services referrals</strong>: Physicians will also no longer have to have the capacity to provide or refer patients to counseling and ancillary services.</li>
</ul>
<ul>
<li><strong>How to use the exemption</strong> Physicians who utilize this exemption just need to place an "X" on the buprenorphine prescription and note that the prescription is being written for opioid use disorder. Charts for patients being treated for opioid use disorder must be maintained separately from other charts to ensure their confidentiality under Title 42 Part 2. Physicians can treat only patients who are located in the states where they are authorized to practice.</li>
</ul>
<ul>
<li><strong>Patient limits</strong>: Physicians who utilize this exemption will be limited to treating no more than 30 patients at one time and must maintain records of the prescriptions issued. Hospital-based physicians, including emergency department physicians who initiate treatment but do not engage in a long-term treatment relationship with the patient, are exempt from these patient limits.</li>
</ul>
<ul>
<li><strong>DATA 2000 Waiver</strong>: The normal waiver requirements are still in place for all other qualifying practitioners (e.g., nurse practitioners and physician assistants). Physicians who wish to prescribe above the 30-patient limit may continue to seek the DATA 2000 waiver under the normal protocols and would not be subject to the above rules.</li>
</ul>
<ul>
<li><strong>Regulatory authority</strong>: DATA 2000 allows the Secretary of Health and Human Services to create exemptions from the certification requirements by issuing practice guidelines.</li>
</ul>
<p>
These changes were enacted via <a href="https://www.hhs.gov/sites/default/files/mat-physician-practice-guidelines.pdf" target="_blank" rel="noreferrer">practice guidelines</a> issued by the Department of Health and Human Services. See HHS's news release on the change <a href="https://www.hhs.gov/about/news/2021/01/14/hhs-expands-access-to-treatment-for-opioid-use-disorder.html">here</a>.
</p>
</div> | 1/19/2021 12:26:53 PM | 1/21/2021 12:00:00 AM |
| register_to_attend_the_2021_legislative_summit | Register to Attend the 2021 Legislative Summit | Advocacy | Shared_Content/News/Membership_Memo/2021/January_21/register_to_attend_the_2021_legislative_summit | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/January/2021-Leg-Summit-645x425px.jpg" class="pull-right" alt="2021 Legislative Summit logo" />
</div>
<h5>January 21, 2020</h5>
<h2>
Register to Attend the 2021 Legislative Summit
</h2>
<p>
The WSMA will hold the 2021 Legislative Summit virtually on Tuesday, Feb. 9. While the Summit may look a little different this year, the event is no less important to WSMA's advocacy, as we look to educate and equip members on our <a href="https://wsma.org/WSMA/Advocacy/Legislative___Regulatory/2021_WSMA_Legislative_Priorities/WSMA/Advocacy/Legislative_Regulatory/2021_WSMA_Legislative_Priorities/2021_WSMA_Legislative_Priorities.aspx?hkey=cecc3084-6ca1-47e6-b8e7-d7f8f407ad0c">key legislative priorities</a> for the physician community during the state legislative session.
</p>
<h3>
About the 2021 Legislative Summit </h3>
<p>
The Summit will feature prominent speakers and presentations from WSMA legislative experts. Given the virtual structure of this year's session and Summit, WSMA staff will not be prearranging meetings with your legislative delegation this year. However, connecting with your lawmakers continues to be sine qua non of advocacy, even in a virtual environment. WSMA staff will provide resources on how to connect with your legislator's office to schedule a meeting that works with your schedule, one-pagers on WSMA's priority issues, and information on virtual advocacy.
</p>
<p>
<a href="[@]WSMA/Events/Legislative_Summit/WSMA/Events/WSMA_Legislative_Summit/Legislative_Summit.aspx?hkey=795731a5-79ba-45b0-b78b-b9dfbfc336e5">Register for the Summit from the WSMA website</a>. The event is free for members, be sure to <a href="[@]WSMA/Membership/Join_Renew/Join_Renew.aspx">renew your membership</a> if you haven't yet done so.
</p>
<h3>
Session preview available on demand </h3>
<p>
WSMA's government affairs and policy team provided a preview of the legislative session during the Jan. 8 WSMA Advocacy Council meeting. Topics included the state budget outlook, pending legislative issues, the 2021 WSMA Legislative Summit, opportunities for advocacy, and more. Visit the <a href="[@]WSMA/Advocacy/Legislative___Regulatory/WSMA/Advocacy/Legislative_Regulatory/Legislative_Regulatory.aspx?hkey=c0dc6e7c-4385-497a-99db-4a6b6f4e56bd">WSMA website</a> to view the session, which included a Q&amp;A.
</p>
</div> | 1/19/2021 12:26:50 PM | 1/21/2021 12:00:00 AM |
| safe_medication_return_program_launches | Safe Medication Return Program Launches | Advocacy | Shared_Content/News/Membership_Memo/2021/January_21/safe_medication_return_program_launches | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/January/Generic_Rx_645px.jpg" class="pull-right" alt="tipped over pill bottle" />
</div>
<h5>January 21, 2020</h5>
<h2>
Safe Medication Return Program Launches
</h2>
<p>
The Safe Medication Return program began collecting covered drugs on Nov. 21. The program will be run by the approved program operator, <a href="https://med-project.org/locations/washington/">MED-Project</a>, and the Department of Health will oversee the program and monitor for compliance. The following medications can be returned through this program:
</p>
<ul>
<li>Prescription and over-the-counter medications</li>
<li>Brand name and generic medications</li>
<li>Controlled substance medications</li>
<li>Medication for household pets</li>
</ul>
<p>
As the program launches there will be two main ways to access the program:
</p>
<ul>
<li>Dropping medications off at participating drop-off sites, such as pharmacies</li>
</ul>
<ul>
<ul>
<li><a href="https://med-project.org/locations/washington/convenient-locations/">Find your nearest dropbox</a></li>
</ul>
</ul>
<ul>
<li>Using prepaid, preaddressed mail-back packages
<ul>
<li>Free mail-back packages can be ordered at no cost on the <a href="https://med-project.org/locations/washington/mail-back/">MED-Project website</a>, or by calling 844.633.7765.</li>
</ul>
</li>
</ul>
<p>
Please reach out to the Safe Medication Return program at <a href="mailto:SafeMedReturn@doh.wa.gov">SafeMedReturn@doh.wa.gov</a> if you have any questions or concerns.
</p>
</div> | 1/19/2021 12:27:01 PM | 1/21/2021 12:00:00 AM |
| 2021_wsma_legislative_summit_save_the_date | 2021 WSMA Legislative Summit - Register Today! | Advocacy | Shared_Content/News/Membership_Memo/2021/January_7/2021_wsma_legislative_summit_save_the_date | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img alt="" src="/images/Newsletters/MembershipMemo/2021/January/2021-Leg-Summit-645x425px.jpg" class="pull-right" />
</div>
<h5>January 7, 2020</h5>
<h2>2021 WSMA Legislative Summit - Register Today! </h2>
<p>As a result of the pandemic, leadership in the state House of Representatives and Senate have decided to hold the 2021 legislative session remotely and close the Capitol to the public, following public health guidelines. In response, the WSMA will hold the 2021 Legislative Summit virtually on Tuesday, Feb. 9, 2021 from 5:30-8:30 p.m. The event is free for WSMA members - one of the many benefits made possible by your dues dollars. The event is free for WSMA members—one of the many benefits made possible by your dues dollars. Registration is now available.</p>
<p>This year's session will be dominated by issues of import to the physician community, as legislators seek to respond to the pandemic, balance the state's budget, and continue to reform the state's health care system. During the Summit you will receive an update on everything happening in Olympia, including WSMA's legislative priorities.</p>
<p>The event will again feature prominent speakers and information on how to connect with your legislators via Zoom. And now there is no need to travel to Olympia to participate! We appreciate your understanding as we move this event online.</p>
<p><a href="[@]WSMA/Events/Legislative_Summit/WSMA/Events/WSMA_Legislative_Summit/Legislative_Summit.aspx?hkey=795731a5-79ba-45b0-b78b-b9dfbfc336e5">Learn more and register for the 2021 Legislative Summit</a>.</p>
<h3>About the 2021 legislative session</h3>
<p>The 2021 legislative session will convene on Monday, Jan. 11 for a virtual "long session," lasting 105 days. During session, the WSMA Outreach and Advocacy report will be disseminated on a weekly basis and will include updates about WSMA's advocacy efforts and opportunities for engagement - if you'd like to receive this weekly report, send your request to Alex Wehinger at <a href="mailto:alex@wsma.org">alex@wsma.org</a>. Legislators will spend the majority of the first few weeks of session in virtual committee hearings, which will be streamed live and archived on <a href="https://www.tvw.org/">TVW</a>, Washington's public affairs network, for your viewing.</p>
</div> | 1/4/2021 2:30:44 PM | 1/7/2021 12:00:00 AM |
| doh_announces_details_on_next_phase_of_covid_19_vaccinations | DOH Announces Details on Next Phase of COVID-19 Vaccinations | Advocacy | Shared_Content/News/Membership_Memo/2021/January_7/doh_announces_details_on_next_phase_of_covid_19_vaccinations | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/January/COVID-vaccine-docs-syringe-645x425px.png" class="pull-right" alt="COVID-19 vaccine syringe behind held by physicians" />
</div>
<h5>January 7, 2020</h5>
<h2>DOH Announces Details on Next Phase of COVID-19 Vaccinations</h2>
<p>Washington State Department of Health officials this week announced details on the next phase of COVID-19 vaccinations, Phase 1B, while also committing to redoubling efforts to ensure all workers in health care settings in Phase 1A are able to get their vaccination.</p>
<p>The state made clear in its announcement that it is not moving into Phase 1B yet, and that Washington is still in Phase 1A. Details and a timeline are being released by the DOH to allow for logistical and administrative planning.</p>
<h3>Phase 1B details and timeline</h3>
<p>The state has broken its Phase 1B into four tiers. This next phase is based upon the broad guidance provided by the federal Advisory Committee on Immunization Practices as well as input from state partners and the public.</p>
<h4>1B1 (Tier 1) </h4>
<ul>
<li>All people 70 years and older.</li>
<li>People 50 years and older who live in multigenerational households.</li>
</ul>
<h4>1B2 (Tier 2)</h4>
<ul>
<li>High-risk critical workers 50 years and older who work in congregate settings:
<ul>
<li>Agriculture; food processing; grocery stores; K-12 (teachers and school staff); child care; corrections, prisons, jails, or detention facilities (staff); public transit; fire; law enforcement.</li>
</ul>
</li>
</ul>
<h4>1B3 (Tier 3)</h4>
<ul>
<li>People 16 years or older with two or more co-morbidities or underlying condition.</li>
</ul>
<h4>1B4 (Tier 4)</h4>
<ul>
<li>High-risk critical workers in congregate settings under 50 years old.</li>
<li>People, staff, and volunteers of all ages in congregate living settings:</li>
<li>Correctional facilities; group homes for people with disabilities; shelters for people experiencing homelessness.</li>
</ul>
<p>The DOH has released a <a href="https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/VaccinationPhasesInfographic.pdf">timeline for phase 1B</a> and in-depth guidance for all released phases to in its <a href="https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/820-112-InterimVaccineAllocationPrioritization.pdf">COVID-19 Vaccine
Prioritization Guidance and
Interim Allocation Framework
</a>(updated Jan. 7, 2021). More details on the state's vaccine distribution planning can be found on the <a href="https://www.doh.wa.gov/Emergencies/COVID19/Vaccine">DOH COVID-19 Vaccine webpage</a>.</p>
<h3>Phase 1A vaccinations</h3>
<p>In announcing the new phase, DOH officials emphasized that pharmacies, clinics, and hospitals in Washington are still hard at work vaccinating people in Phase 1A, tiers 1 and 2. The DOH is working closely with the WSMA, the Washington State Hospital Association, and other health care partners to help ensure all workers in health care settings get vaccinated as quickly as possible. However, the state did indicate some communities may move into phase 1B before other communities have finished 1A, in recognition of the differing makeup and needs of localities. If you are having issues accessing vaccinations for yourself or your staff, see our update in this issue ("<a href="[@]Shared_Content/News/Membership_Memo/2021/January_7/getting_you_and_your_staff_vaccinated.aspx">Getting You and Your Staff Vaccinated</a>").</p>
</div> | 1/4/2021 2:30:35 PM | 1/7/2021 12:00:00 AM |
| getting_you_and_your_staff_vaccinated | Getting You and Your Staff Vaccinated | Advocacy | Shared_Content/News/Membership_Memo/2021/January_7/getting_you_and_your_staff_vaccinated | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/January/COVID-19-Vaccine-Illustration-Black-645x425px.png" class="pull-right" alt="COVID-19 vaccine illustration" />
</div>
<h5>January 7, 2020</h5>
<h2>Getting You and Your Staff Vaccinated</h2>
<p>All workers in health care settings can now receive the COVID-19 vaccine under the state's <a href="https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/VaccineAllocationPhase1A.pdf" target="_blank" rel="noreferrer">Phase 1A, tiers 1 and 2</a>. However, the WSMA continues to hear from members facing hurdles accessing the vaccine for their practice and staff. The following guidance can help.</p>
<h3>Phase Finder tool</h3>
<p>The Washington State Department of Health is piloting "Phase Finder," a new tool now available for health care workers in Phase 1A, tiers 1 and 2, that does the following:</p>
<ul>
<li>Assesses eligibility confirmation and provides confirmation that can be used at a vaccine administration site in lieu of an official letter (note: providers are likely to ask for ID and/or badge).</li>
<li>Identifies where they can go to get vaccinated.</li>
</ul>
<p>To access the tool, go to <a href="https://wadoh.jotform.com/203418436942154">findyourphasewa.com</a>. Once you get to the final screen, you will find sites where you can get vaccinated. Please note: The state has clarified that this is a "soft launch" of the tool; in testing, WSMA staff found some of the vaccine site information neither complete nor accurate. This is especially true for the urban hospitals and the contacts listed. WSMA staff also found the tool to be slow; patience, and retries, are advised.</p>
<p>Phase Finder will launch broadly on Jan. 18 (state officials have advised not to share the tool beyond Phase 1A individuals at this time). The tool will be available in multiple languages and is intended to be used to provide eligibility confirmation onsite.</p>
<h3>How the WSMA can help your practice get vaccinated</h3>
<p>If you would like WSMA's help with getting your clinic connected with your local hospital, please complete our clinic form, emailed to all outpatient, non-hospital-affiliated physicians in our records on Wednesday, Jan. 6. We will share your information with your local hospital so that you and your staff are vaccinated as soon as possible. If your practice did not receive the email and form, <a href="https://www.surveymonkey.com/r/FWFKFCX">click here to access</a>. For questions, email <a href="mailto:policy@wsma.org">policy@wsma.org</a>.</p>
<p>Please note if your practice is in King County: The King County Medical Society is providing assistance for clinics in King County. Go <a href="https://redcap.vanderbilt.edu/surveys/?s=8WN7A8JTXW">here</a> to access the KCMS form. WSMA members in King County are welcome to reach out to KCMS directly with any questions or concerns at <a href="mailto:info@kcmsociety.org">info@kcmsociety.org</a>.</p>
<p>We know several county medical societies are also collecting this information and coordinating with local public health departments. To learn more about what's happening at your local county medical society, <a href="[@]WSMA/About/Partner_Organizations/County_Medical_Societies/County_Medical_Societies.aspx">reach out to them directly</a>.</p>
<p>If you have additional questions, reach out to <a href="mailto:policy@wsma.org">policy@wsma.org</a>.</p>
</div> | 1/4/2021 2:30:38 PM | 1/7/2021 12:00:00 AM |
| urge_the_oic_to_continue_support_for_telemedicine_payment_policies | Urge the OIC to Continue Support for Telemedicine Payment Policies | Advocacy | Shared_Content/News/Membership_Memo/2021/January_7/urge_the_oic_to_continue_support_for_telemedicine_payment_policies | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2021/January/Telemedicine-Patient-Tablet-645x425px.jpg" class="pull-right" alt="Patient using table for telemedicine appointment" />
</div>
<h5>January 7, 2020</h5>
<h2>Urge the OIC to Continue Support for Telemedicine Payment Policies</h2>
<p>Recently, the Washington State Office of the Insurance Commissioner extended its emergency order requiring payment parity for telephone and other non-HIPPA-compliant platforms to Jan. 10. Please take a moment to thank the OIC for these flexibilities and urge them to continue supporting telehealth/phone consultation at payment parity.</p>
<p>Early in the COVID-19 public health crisis, the OIC implemented <a href="https://www.insurance.wa.gov/sites/default/files/documents/emergency-order-20-02_3.pdf" target="_blank" rel="noreferrer">Emergency Order 20-02</a>, requiring OIC-regulated fully insured health plans to temporarily pay at parity for medical services provided via telephone and requiring all state-regulated carriers to permit and reimburse for care provided over non-HIPAA-compliant platforms, including video chat applications.</p>
<p>Physicians and practices need certainty that these policies will remain in effect as the pandemic continues to play out in Washington state so that there is no interruption in our ability to provide care to our patients.</p>
<p>Please take a moment to thank the OIC for these flexibilities and urge them to continue to support telehealth/phone consultation at payment parity with in-person visits through the duration of the public health crisis. Send a message to the OIC by sending an email to <a href="mailto:MikeK@oic.wa.gov">MikeK@oic.wa.gov</a>. (Note: You will receive an automatic response that you can disregard.) <a href="[@]WSMA/Advocacy/Take_Action/WSMA/Advocacy/Take_Action/Take_Action.aspx?hkey=3598752c-64f4-4866-a95a-7610f4e1dd25">We've supplied messaging if helpful</a>.</p>
</div> | 1/4/2021 2:30:49 PM | 1/7/2021 12:00:00 AM |
| the_latest_on_washington_states_vaccine_distribution_plan | The Latest on Washington State's Vaccine Distribution Plan | Advocacy | Shared_Content/News/Latest_News/2021/the_latest_on_washington_states_vaccine_distribution_plan | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/May/COVID-19-Response-645x425px.jpg" class="pull-right" alt="COVID-19 Response graphic" />
</div>
<h5>January 5, 2021</h5>
<h2>The Latest on Washington State's Vaccine Distribution Plan</h2>
<p>
The WSMA has been working closely with the Washington State Department of Health on the state's vaccine distribution plan. On Dec. 30, the state announced an addition to <a href="https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/VaccineAllocationPhase1A.pdf" target="_blank" rel="noreferrer">Washington's 1A vaccine allocation guidance</a>.
</p>
<p>
According to the DOH, some communities in Washington have already completed or are very close to completing vaccination of their high-risk workers in health care settings as outlined in current DOH guidance. <strong>They have added a second tier to 1A that allows for the vaccination of all other workers in health care settings once high-risk workers are vaccinated.</strong>
</p>
<p>
Please note some communities are still working through 1A and others will be able to move to this second tier of 1A more quickly. The DOH has instructed health care systems around the state to actively reach out to and provide access to COVID-19 vaccination for those in the community-based health care workforce outside their systems and in their community—this includes other health care providers, school nurses, and behavioral health providers—in order to complete this phase and ensure we have a protected health care system.
</p>
<p>
The state is still working to finalize prioritization for phases 1B and 1C and expects to release this guidance shortly after the new year so communities can begin planning outreach and vaccination of these groups.
</p>
<p>
The WSMA will continue to keep you up to date on any future developments. Be sure to read our Membership Memo or visit our <a href="[@]WSMA/Resources/COVID-19/covid_19_vaccines/covid_19_vaccines.aspx?hkey=fce03e80-d2e1-463c-b1f3-7257addd7814&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927&amp;_zs=A3aFd1&amp;_zl=PINK7">COVID-19 vaccine webpage</a>.
</p>
</div> | 1/5/2021 9:23:47 AM | 1/5/2021 12:00:00 AM |
| congressional_agreement_reached_on_government_funding_emergency_covid_19_stimulus_e_m_fix_in | Congressional Agreement Reached on Government Funding, Emergency COVID-19 Stimulus, E&M Fix | Advocacy | Shared_Content/News/Membership_Memo/20201223/congressional_agreement_reached_on_government_funding_emergency_covid_19_stimulus_e_m_fix_in | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/May/COVID-19-financial-relief-645x425px.jpg" class="pull-right" alt="COVID-19 financial relief logo" />
</div>
<h5>December 23, 2020</h5>
<h2>
Congressional Agreement Reached on Government Funding, Emergency COVID-19 Stimulus, E&amp;M Fix Included
</h2>
<p>
Federal lawmakers have reached an agreement on a $900 billion stimulus relief effort, a long-awaited follow-up to the CARES Act from March. Intended to facilitate the pandemic response, the agreement provides $20 billion for the purchase of vaccines so they can be available at no charge to patients, and appropriates $9 billion for distribution of the vaccines and $22 billion to states for costs associated with testing, tracing, and COVID-19 mitigation. The bill also addresses previously announced cuts to the physician fee schedule with funding to offset two-thirds of the cuts to providers in 2021. A prohibition on "surprise" or "balance" billing was separately negotiated and included as a part of the final agreement.
</p>
<p>
Notable provisions include:&nbsp;</p>
<h3>
Paycheck Protection Program "second draw" loans
</h3>
<p>
Creates a second loan from the Paycheck Protection Program, called a "PPP second draw" loan, for smaller and harder-hit businesses, with a maximum amount of $2 million, permitting certain borrowers to receive a second loan.
</p>
<h3>
COVID-19
</h3>
<p>Provides $25.4 billion to support testing and contact tracing to effectively monitor and suppress COVID-19, as well as to reimburse for health care-related expenses or lost revenue attributable to the coronavirus, including:
</p>
<ul>
<li>$22.4 billion for testing, contact tracing, and other activities necessary to effectively monitor and suppress COVID-19, including $2.5 billion for a targeted effort to improve testing capabilities and contact tracing in high-risk and underserved populations, including racial and ethnic minority populations and rural communities.</li>
<li>$3 billion in additional grants for hospital and health care providers to be reimbursed for health care-related expenses or lost revenue directly attributable to the public health emergency resulting from coronavirus, along with direction to allocate not less than 85% of unobligated funds in the Provider Relief Fund through an application-based portal to reimburse health care providers for financial losses incurred in 2020.</li>
</ul>
<h3>
Additional 2020 recovery rebates for individuals
</h3>
<p>
The provision provides a refundable tax credit in the amount of $600 per eligible family member. The credit is $600 per taxpayer ($1,200 for married filing jointly), in addition to $600 per qualifying child. The credit phases out starting at $75,000 of modified adjusted gross income ($112,500 for heads of household and $150,000 for married filing jointly) at a rate of $5 per $100 of additional income.
</p>
<h3>
Extension and benefit phaseout rule for Pandemic Unemployment Assistance
</h3>
<p>
Extends Pandemic Unemployment Assistance (PUA) to March 14, 2021 and allows individuals receiving benefits as of March 14, 2021 to continue through April 5, 2021, if the individual has not reached the maximum number of weeks.
</p>
<h3>
Medicare payment changes
</h3>
<ul>
<li>Provides for a one-time, one-year increase to all payments in the 2021 Medicare physician fee schedule by adding $3 billion and delaying payment of HCPCS add-on code G2211 for three years. This provision is intended to support physicians and other professionals in adjusting to changes in the Medicare physician fee schedule during 2021, and to provide relief during the COVID-19 public health emergency. The AMA has provided <a href="https://www.ama-assn.org/system/files/2020-12/2020-combined-impact-table.pdf">a breakdown by specialty of the combined impact of these updates to the conversion factor</a>.</li>
<li>Provides for a three-month delay of the Medicare sequester payment reductions through March 31, 2021.</li>
<li>Increases payments for the work component of physician fees in areas where labor cost is determined to be lower than the national average through Dec. 31, 2023.</li>
<li>Creates 1,000 new Medicare-funded graduate medical education residency positions.</li>
<li>Expands access to mental health services provided via telehealth past the expiration of the public health emergency.</li>
</ul>
<h3>
Surprise/balance billing</h3>
<ul>
<li>Requires health plans to hold patients harmless from surprise medical bills.</li>
<li>Provides for a 30-day open negotiation period for physicians and payers to settle out-of-network claims.</li>
<li>States that if the parties are unable to reach a negotiated agreement, they may access a binding arbitration process, referred to as independent dispute resolution (IDR), in which one offer prevails.</li>
</ul>
<p>
<a href="https://appropriations.house.gov/sites/democrats.appropriations.house.gov/files/Summary%20of%20H.R.%20133%20Coronavirus%20Relief%20Provisions.pdf" target="_blank" rel="noreferrer">Click here for a comprehensive summary of the appropriations bill.</a>
</p>
<p>
Thank you to all our members who joined in our calls to actions to seek additional relief for physician practices and to mitigate the originally announced physician fee schedule cuts.
</p>
</div> | 1/6/2021 3:10:20 PM | 12/23/2020 12:00:00 AM |
| covid_19_vaccine_updates_for_physicians_and_practice | COVID-19 Vaccine Updates for Physicians and Practice | Advocacy | Shared_Content/News/Membership_Memo/20201223/covid_19_vaccine_updates_for_physicians_and_practice | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img alt="" src="/images/Newsletters/MembershipMemo/2020/December/Dr-Schlicher-COVID-Vaccine1-645x425px.jpg" class="pull-right" />
</div>
<h5>December 23, 2020</h5>
<h2>
COVID-19 Vaccine Updates for Physicians and Practices
</h2>
<p>
After <a href="https://www.fda.gov/news-events/press-announcements/fda-takes-additional-action-fight-against-covid-19-issuing-emergency-use-authorization-second-covid">FDA emergency use authorization</a> and subsequent <a href="https://www.governor.wa.gov/news-media/inslee-announces-authorization-moderna-vaccine-western-states-scientific-safety-review">review and approval</a> by the Western states' COVID-19 Scientific Safety Review Workgroup, the Moderna COVID-19 vaccine is being shipped this week to facilities across the state - including many primary care clinics and practices. More on this and other vaccine-related news in this update.
</p>
<h3>
State targets primary care facilities with Moderna doses
</h3>
<p>
On the Moderna vaccine, the state estimates 128,000 doses will be allocated this week, along with an additional 44,850 of the Pfizer-BioNTech vaccine. The Pfizer doses will continue to go to hospitals that can accommodate the ultra-cold storage requirements, while the Moderna doses, which are easier to handle and store, shipped to many primary care clinics, private medical groups, public health facilities, and other facilities enrolled in the state's COVID-19 Vaccination Program.
</p>
<p>
<strong>Important:</strong> The Department of Health continues to encourage facilities interested in administering the vaccine, including outpatient practices not affiliated with a hospital, to enroll. To learn more, visit <a href="https://www.doh.wa.gov/Emergencies/COVID19/HealthcareProviders/VaccineInformationforHealthcareProviders">the DOH website for details</a>. According to the DOH, enrollment will allow practices to get the vaccine directly and administer it to their patients and staff. For clinics needing less than 100 doses, the DOH recommends partnering with another practice nearby for the purposes of vaccinating staff.
</p>
<p>
For questions about the enrollment process or general question on the state's vaccine rollout, please contact <a href="mailto:COVID.vaccine@doh.wa.gov">COVID.vaccine@doh.wa.gov</a>.
</p>
<h3>
Vaccine prioritization
</h3>
<p>
Washington is currently in <a href="https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/VaccineAllocationPhase1A.pdf" target="_blank" rel="noreferrer">Phase 1a of its COVID-19 Vaccine Allocation Guidance</a>, which focuses on vaccinating two groups: High-risk health care workers and first responders, and residents and staff of nursing homes and other congregate living settings where people over 65 are getting care or assistance. Early this week, the Advisory Committee on Immunization Practices released its <a href="https://www.cdc.gov/mmwr/volumes/69/wr/mm695152e2.htm?s_cid=mm695152e2_w">interim guidance for the next stages of COVID-19 vaccine allocation</a>. The advisory panel recommended for Phase 1b, COVID-19 vaccine should be offered to persons aged ≥75 years and non-health care front-line essential workers, and in Phase 1c, to persons aged 65–74 years, persons aged 16–64 years with high-risk medical conditions, and essential workers not included in Phase 1b.
</p>
<p>
The Department of Health is expected to release the next two phases of Washington's distribution plan based on the ACIP guidance in the days ahead. State officials have said they expect to have all front-line health professionals in Phase 1a vaccinated with their first dose by the end of January.
</p>
<p>
<strong>Important: </strong>We continue to hear from outpatient health care workers struggling to access the vaccine. WSMA staff has relayed these concerns to the DOH, who in turn has reassured us that the agency is working on increasing points of access, and expects to release guidance shortly on how to help those who are eligible for the vaccine but not able to vaccinate themselves or aren't affiliated with a hospital or health system. The WSMA will make this guidance available as soon as we receive it. In the meantime, some hospitals are setting up "pods" to vaccinate outpatient workers. Hospitals operating a pod will be required to designate themselves as such. Reach out to your local hospital today to learn about their plans for vaccinating outpatient health care workers.
</p>
<h3>
Clinical information and vaccination training
</h3>
<p>
New from the CDC is <a href="https://www2.cdc.gov/vaccines/ed/covid19/">COVID-19 Vaccine Training: General Overview of Immunization Best Practices for Healthcare Professionals</a>. This is an online, self-paced module for health care providers who will be administering COVID-19 vaccine. For more accredited training on administering COVID-19 vaccines, see <a href="https://accme.org/resources-category/novel-coronavirus-education">this searchable database</a> from the Accreditation Council for Continuing Medical Education.
</p>
<p>
ICYMI: A WSMA Virtual Grand Rounds panel on Dec. 16 featured an hour-long Q&amp;A session for physicians on COVID-19. The panel featured six physician experts with a deep understanding of COVID-19 vaccine, testing, and treatment knowledge, answering questions on:
</p>
<ul>
<li>Vaccine distribution and prioritization</li>
<li>Immune response to the vaccine</li>
<li>Vaccinations for pregnant women and women who are breast feeding</li>
<li>Vaccinations about people with auto-immune disorders</li>
<li>Adverse reactions to the vaccine</li>
<li>Testing strategies - testing at volume</li>
<li>Current treatment strategies</li>
</ul>
<p>
The panel was recorded and is now <a href="https://wsma.org/WSMA/Education/On_Demand_Webinars/WSMA/education/On_Demand_Webinars/Webinars_OnDemand.aspx?hkey=c3940e65-ff14-4c25-a05d-b85a147c9fa0">available on demand</a>.
</p>
<h3>
Guidance on reimbursement
</h3>
<p>
The Centers for Medicare &amp; Medicaid Services offers a toolkit to help physicians and others in health care prepare to swiftly administer the COVID-19 vaccine. Because the initial supply of COVID-19 vaccines will be federally purchased, the toolkit primarily focuses on coverage of vaccine administration. This toolkit covers:
</p>
<ul>
<li>How health care providers can enroll in Medicare to bill for administering COVID-19 vaccines.</li>
<li>The COVID-19 Vaccine Medicare coding structure.</li>
<li>The Medicare reimbursement strategy for COVID-19 vaccine administration.</li>
<li>How health care providers can bill correctly for administering vaccines, including roster and centralized billing.</li>
</ul>
<p>
Find the toolkit on the CMS website <a href="https://www.cms.gov/covidvax-provider">here</a>.
</p>
<p><em>Pictured: WSMA President Nathan Schlicher, MD, receiving his first dose of the Pfizer-BioNTech COVID-19 vaccine.</em></p>
</div> | 12/22/2020 12:28:42 PM | 12/23/2020 12:00:00 AM |
| health_alerts_on_tuberculosis_and_youth_suicide | Health Alerts on Tuberculosis and Youth Suicide | Advocacy | Shared_Content/News/Membership_Memo/20201223/health_alerts_on_tuberculosis_and_youth_suicide | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/August/Stethoscope-on-table-645x425px.jpg" class="pull-right" alt="stethoscope" />
</div>
<h5>December 23, 2020</h5>
<h2>
Health Alerts on Tuberculosis and Youth Suicide
</h2>
<p>
The Washington State Department of Health issued the following provider alerts this week.
</p>
<h3>
Delayed and misdiagnosed TB due to COVID-19
</h3>
<p>
State epidemiologists have noticed a significant uptick in tuberculosis cases throughout Washington during the pandemic. Believing the increase is due to a reduction in the number of TB cases reported, delayed diagnosis, and undiscovered cases, the state has issued a health advisory asking physicians to consider pulmonary TB disease in patients presenting with symptoms and risk factors consistent with TB, regardless of COVID-19 test results. The advisory provides these clinical recommendations:
</p>
<ul>
<li>Include pulmonary TB disease in the differential diagnosis of cough for more than two weeks, fever and/or weight loss among those from a country with an elevated TB rate.</li>
<li>If the patient's symptoms are consistent with active TB, obtain a chest X-ray.</li>
<li>If the chest X-ray is consistent with TB disease (e.g., an opacity in the upper lobe with or without cavitation), contact your local health department.</li>
</ul>
<p>
<a href="javascript://[Uploaded files/News and Publications/Newsletters/2020/TBandCOVID-HealthAlert_20201220.pdf]">Download the DOH health advisory</a>, issued Dec. 21, 2020. The DOH also offers a poster as part of its TB health advisory - <a href="javascript://[Uploaded files/News and Publications/Newsletters/2020/420-300_TB-Poster_FINAL_121420.pdf]">click here to download</a>.
</p>
<h3>
Screening youth for suicide risk
</h3>
<p>
State public health officials are warning that a convergence of factors, including an extended disillusionment phase associated with the pandemic, the disruption of school, social isolation, and seasonal changes, may be leading to an increased risk of suicide attempts, suicidal ideation, and psychological distress among youth in Washington. In a provider alert issued this week, the Washington State Department of Health is asking physicians to:
</p>
<ul>
<li>Screen patients for suicide risk, particularly children, teens, and young adults.</li>
<li>Share information and resources with patients and their families on crisis support, suicide warning signs, and suicide risk factors.</li>
</ul>
<p>
The DOH has provided resources to assist physicians and health care providers in screening and sharing resources with patients and families. <a href="javascript://[Uploaded files/News and Publications/Newsletters/2020/COVID-19-Provider-Alert-Regarding-Suicide-Risk-in-Youth.pdf]">Download the provider alert with links to associated resources</a>.
</p>
</div> | 12/22/2020 3:45:43 PM | 12/23/2020 12:00:00 AM |
| new_webinar_complying_with_state_opioid_regulations_through_improved_prescribing_practices | New Webinar: Complying with State Opioid Regulations Through Improved Prescribing Practices | Advocacy | Shared_Content/News/Membership_Memo/20201223/new_webinar_complying_with_state_opioid_regulations_through_improved_prescribing_practices | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/December/opiates_hydrocodone_645x425px.jpg" class="pull-right" alt="hydrocodone bottle and pills" />
</div>
<h5>December 23, 2020</h5>
<h2>
New Webinar: Complying with State Opioid Regulations Through Improved Prescribing Practices
</h2>
<p>
In the latest in our Continuing Professional Development series, Dr. Nathan Schlicher, president of the WSMA, and Jeb Shepard, director of policy at the WSMA, will review the Washington state opioid prescribing requirement and outline strategies to comply with specific requirements of opioid prescribing rules. They will detail additional resources available for up-to-date evidence-based information on opioid prescribing. This activity has been approved for <em>AMA PRA Category 1 Creditâ„¢</em>. Completion of this enduring material CME activity about state opioid prescribing rules meets new state opioid CME requirements. <a href="https://wsma.org/WSMA/Education/Upcoming_Webinars/WSMA/education/Upcoming_Webinars/Upcoming_Webinars.aspx?hkey=b760d6bd-1833-412d-b681-babf251792a8">Register online</a>.
</p>
</div> | 12/22/2020 12:28:38 PM | 12/23/2020 12:00:00 AM |
| public_health_funding_covid_19_response_take_center_stage_in_governor’s_budget_proposal | Public Health Funding, COVID-19 Response Take Center Stage in Governor’s Budget Proposal | Advocacy | Shared_Content/News/Membership_Memo/20201223/public_health_funding_covid_19_response_take_center_stage_in_governor’s_budget_proposal | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/December/State.Capitol.Olympia_2015-645x425px.jpg" class="pull-right" alt="Washington state capitol building" />
</div>
<h5>December 23, 2020</h5>
<h2>
Public Health Funding, COVID-19 Response Take Center Stage in Governor's Budget Proposal
</h2>
<p>
Last week, Gov. Jay Inslee released his budget plan for the two-year fiscal cycle that will begin next July, proposing a $57.6 billion operating budget that covers the state's costs associated with health care, education, and other general government functions. An annual sign that the legislative session is approaching, the governor's budget proposal sets the table for negotiations that will commence in earnest when the 2021 Legislature convenes on Jan. 11.
</p>
<h3>
Pandemic and public health investments
</h3>
<p>
Many elements of the governor's spending plan were shaped by or a response to the COVID-19 pandemic. Public health took center stage, with around $400 million in funding dedicated to pandemic response in the form of vaccine administration, containing the spread of the virus, supporting the purchase of supplies and taking other measures necessary to keep our state's residents healthy and our health care system online. An ambitious plan to fund Foundational Public Health Services through a new fee on health insurers was among the highlights of the budget, though it relies on a regionalization of the local public health system that many in the public health community feel would be disruptive. In the coming months, the WSMA will work with the governor's office, the Washington State Association of Local Public Health Officials and other stakeholders in the public health community to support a well-funded and organized state and local public health system.
</p>
<h3>
Taxes and revenues
</h3>
<p>
As he has in the past, the governor is again seeking to establish a capital gains tax, proposing a 9% tax on the sale of stocks and other assets, which would impact around 2% of households in the state and raise more than $1 billion per year once it goes into effect in 2023. The Legislature has debated the creation of a capital gains tax extensively in recent years and while many majority-party Democrats advocate for its establishment in the interest of increasing state revenues and making Washington's tax structure less regressive, it's not clear if there is sufficient support for the measure to pass this year.
</p>
<p>
The push for tax increases is driven in part by the economic disruption caused by the pandemic. While forecasts for future state revenue receipts have improved since the spring when many physician practices and other businesses were limited or shuttered altogether, the state still figures to take in around $3 billion less over the next three years than was anticipated before the pandemic. In addition to the capital gains tax and health insurer fee proposed by the governor, the Legislature will likely consider establishing a statewide payroll tax and may look to again increase the state's business and occupation (B&amp;O) tax. These taxes would layer on top of a potentially significant increase in the state's unemployment insurance rate for businesses. The WSMA will participate in these revenue negotiations, acknowledging the state's budget picture but also reminding legislators that many physician organizations are struggling financially and not in a position to absorb more costs.
</p>
<h3>
Mental health/primary care investments
</h3>
<p>
Elsewhere, the governor's budget proposal seeks to make considerable investments in the state's mental health system, increasing staffing at the state's psychiatric hospitals, supporting patient competency evaluation and restoration, and increasing the Medicaid reimbursement rate for behavioral health services. Earlier this year, the Legislature approved Medicaid rate increases for behavioral health and primary care services, but the appropriations were vetoed by the governor as he sought to get ahead of the looming budget shortfall. While the primary care rate adjustments were not included in the governor's budget, seeking its restoration will be the top budget priority of the WSMA in the 2021 session.
</p>
<p>
And while finding agreement on a new state budget will be the primary duty of the 2021 Legislature, any number of policy proposals will be considered as well when the gavel drops next month. It'll all play out in a very different format as legislators will meet almost entirely remotely this year, with committee hearings and other functions of the legislative process taking place via Zoom.
</p>
<h3>
Join us on Jan. 8 to learn more
</h3>
<p>
WSMA's Government Affairs &amp; Policy team will host a session preview webinar at noon on Friday, Jan. 8, giving a rundown on our legislative priorities and other key issues for the physician community. <a href="https://zoom.us/meeting/register/tJAuf-2grToqH9ZiXOnRZ9_1LO6vHS7HDseB">Register for the free session</a>.
</p>
<p>
For questions on our advocacy efforts, email WSMA Government Affairs Director Sean Graham at <a href="mailto:sean@wsma.org">sean@wsma.org</a>.
</p>
</div> | 12/22/2020 12:28:45 PM | 12/23/2020 12:00:00 AM |
| telemedicine_medical_professional_training_now_available | Telemedicine Medical Professional Training Now Available | Advocacy | Shared_Content/News/Membership_Memo/20201223/telemedicine_medical_professional_training_now_available | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/December/Telemedicine-Doc-On-Tablet-645x425px.jpg" class="pull-right" alt="physician on tablet screen" />
</div>
<h5>December 23, 2020</h5>
<h2>
Telemedicine Medical Professional Training Now Available
</h2>
<p>
In 2020, the Legislature passed <a href="https://app.leg.wa.gov/billsummary?BillNumber=6061&amp;Initiative=false&amp;Year=2019">Senate Bill 6061</a>, making telemedicine training mandatory for all licensed, registered, or certified health care professionals providing telemedicine services, beginning Jan. 1, 2021. Physicians are excluded from the mandate; however, they are encouraged to complete such training. The Washington State Telehealth Collaborative has published <a href="https://www.wsha.org/policy-advocacy/issues/telemedicine/washington-state-telemedicine-collaborative/telemedicine-training">a webpage with detailed guidance on the training requirement</a>, and has partnered with the Northwest Regional Telehealth Resource Center to offer free telemedicine training to meet the new state requirement. To enroll, visit the <a href="https://nrtrc.catalog.instructure.com/courses/washington-state-healthcare-professional-telemedicine-training">Washington State Medical Professional Telemedicine Training</a> webpage.
</p>
</div> | 12/22/2020 12:27:07 PM | 12/23/2020 12:00:00 AM |
| ama_guidance_on_medicare_physician_fee_schedule_changes | AMA Guidance on Medicare Physician Fee Schedule Changes | Advocacy | Shared_Content/News/Membership_Memo/20201210/ama_guidance_on_medicare_physician_fee_schedule_changes | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/December/Medicare-Blocks-645x425px.jpg" class="pull-right" alt="blocks spelling out Medicare" />
</div>
<h5>December 10, 2020</h5>
<h2>AMA Guidance on Medicare Physician Fee Schedule Changes</h2>
<p>The Centers for Medicare &amp; Medicaid Services has released its final rule for the 2021 Medicare Physician Payment Schedule and Quality Payment Program, with key provisions set to take effect on or after Jan. 1.</p>
<p>AMA's regulatory team has provided the WSMA a detailed summary of the payment schedule, providing an overview of the conversion factor, telehealth, scope of practice, and various other provisions, as well updates to the Quality Payment Program. Download the <a href="javascript://[Uploaded files/News and Publications/Newsletters/2020/2021 MPFS Federation Summary 12.08.2020.pdf]">AMA 22-page summary</a>.</p>
<h3>E/M coding and reporting</h3>
<p>Be sure to review the AMA's <a href="https://www.ama-assn.org/practice-management/cpt/cpt-evaluation-and-management">overview of CPT E/M office visit revisions</a> for an overview of the changes coming to coding and documenting E/M office visits. The following additional AMA resources can help physicians understand the new ways to report using medical decision-making (MDM) and time:</p>
<ul>
<li><a href="https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf" target="_blank">CPT E/M office or other outpatient and prolonged services code and guidelines changes</a> (with details about reporting via time and MDM)</li>
<li><a href="https://www.ama-assn.org/system/files/2019-06/cpt-revised-mdm-grid.pdf" target="_blank">CPT E/M Office Visit Revisions Level of MDM</a> (excerpt from the CPT guidelines)</li>
<li><a href="https://edhub.ama-assn.org/cpt-education/interactive/18461930">Revisions to the CPT E/M Office Visits: New Ways to Report Using Time</a> (AMA ED Hub module)</li>
<li><a href="https://edhub.ama-assn.org/cpt-education/interactive/18461932">Revisions to the CPT E/M Office Visits: New Ways to Report Using Medical Decision Making</a> (AMA ED Hub module)</li>
</ul>
<p>For more information on the final rule:</p>
<ul>
<li><a href="https://www.cms.gov/newsroom/press-releases/trump-administration-finalizes-permanent-expansion-medicare-telehealth-services-and-improved-payment">CMS Press Release</a></li>
<li><a href="https://www.cms.gov/newsroom/fact-sheets/final-policy-payment-and-quality-provisions-changes-medicare-physician-fee-schedule-calendar-year-1">CMS 2021 Medicare Physician Fee Schedule Fact Sheet</a></li>
<li><a href="https://qpp-cm-prod-content.s3.amazonaws.com/uploads/1100/2021%20QPP%20Proposed%20Rule%20Fact%20Sheet.pdf" target="_blank">CMS 2021 Quality Payment Program Fact Sheet</a> </li>
<li><a href="https://www.cms.gov/files/document/12120-pfs-final-rule.pdf" target="_blank">CMS 2021 Medicare Physician Fee Schedule Final Rule Text</a></li>
</ul>
</div> | 12/8/2020 1:55:29 PM | 12/10/2020 12:00:00 AM |
| bree_collaborative_seeking_primary_care_feedback | Bree Collaborative Seeking Primary Care Feedback | Advocacy | Shared_Content/News/Membership_Memo/20201210/bree_collaborative_seeking_primary_care_feedback | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/December/Doc-Patient-Exam-Room-645x425px.jpg" class="pull-right" alt="Doctor and patient in exam room" />
</div>
<h5>December 10, 2020</h5>
<h2>Bree Collaborative Seeking Primary Care Feedback</h2>
<p>One of the work items the Bree Collaborative has focused on this year is primary care. The collaborative is now seeking physician feedback on its newly released draft recommendations, which outline standards to develop a statewide definition for primary care to support multi-payor payment reform.</p>
<p><a href="http://www.breecollaborative.org/">The Dr. Robert Bree Collaborative</a> was created by the Washington State Legislature in 2011 to produce evidence-based recommendations to improve the health care system in our state. Members of the Bree Collaborative are health care stakeholders appointed by the governor. Their work is important because it is often utilized by the Legislature and regulators in Washington state to advance policy.</p>
<p>The draft recommendations of the Bree Collaborative's primary care work group are available&nbsp;<a href="http://www.breecollaborative.org/wp-content/uploads/Recommendations-Primary-Care-DRAFT-20-1027.pdf" target="_blank">here</a>. The WSMA has been engaging and offering feedback to the primary care work group. While we support the general direction of the recommendations, we have identified two concerning components of the draft: the inclusion of naturopaths as primary care providers, and challenging requirements for primary care practices of all sizes to be deemed a "primary care site." The WSMA has submitted the <a href="javascript://[Uploaded files/News and Publications/Newsletters/2020/WSMA comment on Bree Collaborative primary care recommendations_for submission_12072020.pdf]">attached letter</a> outlining these concerns. If you share our concerns, we hope you will consider writing the members of the Bree to share your experiences.</p>
<p>Comments on the draft recommendations are due by 5 p.m. on Dec. 28. Clinicians may provide feedback using the Bree Collaborative's <a href="http://www.breecollaborative.org/topic-areas/current-topics/primary-care/">survey tool</a>. If you share the WSMA's concerns above, please consider writing the Bree Collaborative directly reiterating those concerns - email them to <a href="mailto:bree@qualityhealth.org">bree@qualityhealth.org</a>. Should you have any questions, please don't hesitate to contact the WSMA Policy Department at <a href="mailto:policy@wsma.org">policy@wsma.org</a>.</p>
</div> | 12/8/2020 1:55:43 PM | 12/10/2020 12:00:00 AM |
| legislature_meets_for_committee_assembly_days | Legislature Meets for Committee Assembly Days | Advocacy | Shared_Content/News/Membership_Memo/20201210/legislature_meets_for_committee_assembly_days | <div class="col-md-12">
<div class="col-md-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2020/December/Dr-Schlicher-HealthCareComm-12-1-20-645x425px.jpg" class="pull-right" alt="Nathan Schlicher MD update to lawmakers screen" />
</div>
<h5>December 10, 2020</h5>
<h2>Legislature Meets for Committee Assembly Days </h2>
<p>Washington's legislative committees met last week for virtual committee assembly days and WSMA President Nathan Schlicher, MD, was there to update lawmakers on the impact of COVID-19 on the physician community, as well as share an overview of WSMA priorities in advance of the 2021 legislative session.</p>
<p>Committee assembly days allow legislators to be briefed on policy updates and to look ahead at issues that will be considered during session. Many legislative committees focused on the pandemic response and its implications on the state budget. While the public health crisis continues to cloud the state's fiscal outlook, November's revenue forecast indicates that the budget shortfall may not be as large as previously estimated.</p>
<p>Dr. Schlicher testified to the Senate Health and Long Term Care committee, providing an update on telemedicine use, acquisition of PPE and testing equipment, and the financial impact of the pandemic on physician practices. Dr. Schlicher also shared WSMA's priorities for the upcoming session which include funding for foundational public health services and a Medicaid reimbursement increase, telehealth, health equity, and insurer reimbursement for costs associated with PPE. <a href="https://www.tvw.org/watch/?eventID=2020121005">View Dr. Schlicher's presentation.</a></p>
<p>The 2021 legislative session will convene virtually on Jan. 11. For questions contact WSMA Government Affairs Director Sean Graham at <a href="mailto:sean@wsma.org">sean@wsma.org</a>. For more news and information on WSMA's advocacy on behalf of physicians, patients, and the profession, visit our <a href="[@]WSMA/News_Publications/Latest_News/Advocacy_Report/WSMA/News_Publications/Newsletters/WSMA_Advocacy_Report.aspx?hkey=fbce906b-dbfb-4af3-8790-11f84275cf1e">online Advocacy Report</a>.</p>
</div> | 12/8/2020 1:55:40 PM | 12/10/2020 12:00:00 AM |