Press Room

Published 11/22/2017 

WSMA Responds to Attorney General’s Announcement on Opioid Crisis

WSMA PRESS STATEMENT
For Immediate Release
  CONTACT
Nov. 21, 2017   Graham Short
206.956.3633
gfs@wsma.org


Seattle, Wash. – Washington State Medical Association (WSMA) Executive Director Jennifer Hanscom issued the following statement today in response to Washington State Attorney General Bob Ferguson's announcement of opioid-related legislation he will take to the Legislature in January:

“The WSMA appreciates the intent of the Attorney General’s bill limiting pill counts, which is to reduce the amount of prescription opioids in our communities. The WSMA supported and helped to pass a bill earlier this year that seeks to achieve the same result. As one of its provisions, House Bill 1427 calls for all state licensing boards that regulate prescribers to implement new opioid prescribing rules. We are currently working with the state Department of Health on this rulemaking, in an open and transparent process involving the state, prescribing professions and the public. We encourage the Attorney General to join his fellow state agencies and us in this work currently in progress, rather than initiating an unnecessary, duplicative effort.

“Similarly, the WSMA appreciates the Attorney General's suggestion to increase usage of the state prescription monitoring program—improving the use of the PMP is also one of the goals of HB 1427. Physicians and other prescribing providers have indeed needed, and asked for, PMP prescribing data for over a decade to help inform their prescribing. But while the idea of a mandate sounds good on the surface, until the PMP can integrate with electronic health records to bring this data to physicians in an efficient manner—which is the case in states with similar mandates—then a mandate will only add to the administrative entanglement physicians currently face with the PMP and, most importantly, take time away from patient care.

“Together with the efforts established by HB 1427, the WSMA has also partnered with the governor's office, the state Health Care Authority and other stakeholders like the hospital association, to put forward community- and evidence-based approaches that address the opioid issue while ensuring patients have access to appropriate quality care. We look forward to having the Attorney General join us in this work.”

The WSMA and the state hospital association are leading a task force to address prescription drug opioid abuse, addiction and overdose in Washington state—learn more about the Joint Opioid Safe Practices Task Force

About the WSMA 

The Washington State Medical Association represents nearly 11,000 physicians, physician assistants, resident physicians and medical students in Washington state. The WSMA has advocated on behalf of the House of Medicine more than 125 years. Our vision is to make Washington state the best place to practice medicine and receive care.

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Published 11/21/2017

Published 10/24/2017 

WSMA Patient Safety Awards go to The Everett Clinic, Jefferson Healthcare and The Vancouver Clinic

WSMA PRESS RELEASE
For Immediate Release
  CONTACT
Oct. 20, 2017   Graham Short
206.956.3633
gfs@wsma.org


WSMA Patient Safety Awards go to The Everett Clinic, Jefferson Healthcare and The Vancouver Clinic


Seattle, Wash. – Three health care organizations in Washington state have been recognized by the Washington State Medical Association for their contribution to improving patient safety and quality care in the state. Jefferson Healthcare, The Vancouver Clinic and The Everett Clinic were each presented a William O. Robertson Patient Safety Award on Saturday, Oct. 14 at the medical association’s annual meeting at the Hilton Seattle Airport & Conference Center in Seattle.

Each year, the WSMA, which represents physicians, physician assistants, resident physicians and medical students throughout the state, honors innovative patient safety initiatives in the ambulatory care setting. This year, the medical association gave three awards: a Patient Safety Award of Excellence and two Awards of Achievement.

The William O. Robertson Patient Safety Award of Excellence was presented to The Everett Clinic for its work on addressing the opioid epidemic in its patient community. Over the past year, the Everett Clinic pursued three strategies: appropriate pain control, safe opioid prescribing, and identification/management of high-risk chronic opioid therapy patient groups. This three-pronged approach resulted in:

  • A stable chronic opioid therapy population despite significant growth of the patient population following the closure of the Seattle Pain Centers.
  • A 26 percent decline in total walk-in-clinic (WIC) opioid prescriptions and a 62 percent decline in pediatric WIC opioid prescriptions.
  • A 27 percent reduction in the number of chronic opioid therapy patients receiving opioid prescriptions by their surgeons.
  • Increased compliance with best practice by 14 percent in the Comprehensive Pain Center and by 37 percent in primary care.
  • And they doubled the number of patients managed by their pain specialists.
  • A 56 percent decline in the number of high morphine equivalent dose patients.

Accepting the award on behalf of the Everett Clinic were Chief Medical Officer Al Fisk, MD, Associate Medical Director of Quality Kent Hu, MD and occupational medicine physician Dianna Chamblin, MD.

The first William O. Robertson Patient Safety Award of Achievement was given to Jefferson Healthcare for its work to improve communication, teamwork and collaboration to significantly reduce adverse events. After training its entire staff—both clinical and non-clinical—using the evidence-based teamwork approaches of TeamSTEPPS and “Just Culture” principles of accountability, Jefferson Healthcare decreased the number of patient falls with injury, reduced re-admissions and continues to report zero health-care-acquired pressure ulcers. Jefferson Healthcare’s CEO Mike Glenn accepted the award on behalf of the organization.

The second William O. Robertson Patient Safety Award of Achievement was presented to The Vancouver Clinic for its work on standardizing and improving its process for patient advance care planning through the Honoring Choices® Pacific Northwest initiative. Since adopting the initiative, the clinic has held 157 advance care planning conversations—discussions between patients and facilitators on patient's future treatment preferences—72 percent of which included the health care agent, which is the gold standard, and all of which were documented in the electronic medical record. Physician assistant Katie Pence, PA-C, from The Vancouver Clinic accepted the award on behalf of the organization.

The WSMA established the William O. Robertson Patient Safety Award in 2005 to recognize and share innovative patient safety initiatives in the ambulatory care setting. The award was named after WSMA past-president, the late William O. Robertson, MD, who was a champion for patient safety, risk management and quality improvement throughout his long and distinguished career.

About the WSMA 

The Washington State Medical Association represents nearly 11,000 physicians, physician assistants, resident physicians and medical students in Washington state. The WSMA has advocated on behalf of the House of Medicine more than 125 years. Our vision is to make Washington state the best place to practice medicine and receive care.

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Published 10/20/2017

Published 10/20/2017 

Seattle Pediatrician Named President of State Medical Association

 
WSMA PRESS RELEASE
For Immediate Release
  CONTACT
Oct. 16, 2017   Graham Short
206.956.3633
gfs@wsma.org
 
 
 
 
  
 
 


Seattle Pediatrician Named President of State Medical Association


Seattle, Wash. – Donna Smith, MD was elected president of the Washington State Medical Association at the association’s annual meeting in Seattle, Sunday, Oct. 15. The WSMA represents physicians, physician assistants, resident physicians and medical students and throughout Washington state.

Dr. Smith, who lives in Seattle, is a pediatrician and serves as the executive medical director of Virginia Mason Clinics.

Dr. Smith received her medical degree from Oregon Health Sciences University in Portland. She completed her internship and residency at Seattle Children's Hospital and Medical Center before launching into private practice. She joined Virginia Mason in 1995.

Dr. Smith has served in various leadership roles at Virginia Mason, including medical director of Virginia Mason Hospital, chief of pediatrics, and medical director of the emergency department. She joined WSMA’s executive committee in 2012 after serving several years on its board.

The following physicians were also elected as officers at the association’s annual meeting: Tom Schaaf, MD, Spokane family physician, president-elect; Bill Hirota, MD, Tacoma gastroenterologist, 1st vice president; Nathan Schlicher, MD, JD, Tacoma emergency physician, 2nd vice president; Mika Sinanan, MD, Seattle surgeon, secretary-treasurer; Katina Rue, DO, Yakima osteopathic physician, assistant secretary-treasurer. The seventh officer of WSMA’s executive committee is past-president Shane Macaulay, MD, Bellevue radiologist, who will serve as committee chair.

Click here to download a high-resolution photo of Dr. Donna Smith. 

About the WSMA 

The Washington State Medical Association represents nearly 11,000 physicians, physician assistants, resident physicians and medical students in Washington state. The WSMA has advocated on behalf of the House of Medicine more than 125 years. Our vision is to make Washington state the best place to practice medicine and receive care.

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Published 10/16/2017

Published 10/20/2017 

Senator Rivers Honored by State Medical Association

 
WSMA PRESS RELEASE
For Immediate Release
  CONTACT
Oct. 16, 2017   Graham Short
206.956.3633
gfs@wsma.org
 
 
 
 
  
 
 


Senator Rivers Honored by State Medical Association


Seattle, Wash. – Sen. Ann Rivers (R-La Center) has been named the Washington State Medical Association’s 2017 Legislator of the Year for her support of the medical association’s legislative efforts, including a bill to help physicians fight the opioid epidemic and legislation protecting the public from distracted driving. The senator, who represents the state’s 18th Legislative District serving parts of Clark County, received the award on Saturday, Oct. 14, at the medical association’s annual meeting at the Hilton Seattle Airport & Conference Center in Seattle.

Each year, the statewide professional organization, representing physicians, physician assistants, resident physicians and medical students, honors a legislator whose knowledge and influence do much to improve the health of people in Washington state.

As a member of the Senate Majority Coalition Caucus and chair of the Senate Health Care Committee, Sen. Rivers was instrumental in getting WSMA-supported bills scheduled for hearings, moved out of committee and passed out of the Senate. She also sponsored or co-sponsored bills that were top priority for the medical association, including legislation in 2017 that advanced solutions identified by the medical and state hospital association’s joint opioid task force to help clinicians fight the opioid epidemic.

“Washington state is facing a worsening crisis of opioid-related addiction and overdose, and Sen. Rivers was crucial in working with the WSMA and our partners to pass legislation giving physicians and hospitals new tools to fight the epidemic” said Dr. Donna Smith, president of the WSMA. “Sen. Rivers helped us secure provisions in the bill that support safe, appropriate prescribing and, importantly, do not interfere with a patient’s ability to have their pain treated.”

Sen. Rivers was also the prime sponsor of Senate Bill 5289, a priority bill for the medical association that allows law enforcement to cite individuals for using electronic devices while driving, a significant factor in automobile-related injuries and deaths.

Sen. Rivers was praised by the association for her contribution to WSMA’s successful legislative efforts in Olympia on behalf of physicians and patients.

“Sen. Rivers was always available when we needed her, and was excellent at sharing important and timely information on bills and other key issues during session,” said Dr. Smith. “Sen. Rivers is truly a physician and patient advocate, and we look forward to working with her in the years ahead.”

Sen. Rivers lives with her husband Fred and their two sons in La Center.

About the WSMA
The Washington State Medical Association represents nearly 11,000 physicians, physician assistants, resident physicians and medical students in Washington state. The WSMA has advocated on behalf of the House of Medicine more than 125 years. Our vision is to make Washington state the best place to practice medicine and receive care.

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Published 10/16/2017

Published 10/13/2017 

The WSMA Reponds to CSR Payments, Encourages Patients to Enroll

 
WSMA PRESS STATEMENT
For Immediate Release
  CONTACT
Oct. 13, 2017   Graham Short
206.956.3633
gfs@wsma.org
 
 
 
 
 
 
 
 


The WSMA Responds to CSR Payments, Encourages Patients to Enroll


Seattle, Wash. – Washington State Medical Association (WSMA) President Shane Macaulay, MD, issued the following statement today:

“The Washington State Medical Association is deeply disappointed in the Trump administration’s decision to end cost-sharing reduction subsidies to insurers, which help financially support the cost of the health plans offered to low-income individuals through the ACA marketplaces. A Congressional Budget Office analysis has shown that without these subsidies premiums will increase and insurers will be more likely to pull out of the ACA exchanges. Here in Washington, uncertainty in the individual market has already led to insurers not offering products on the exchange and/or increasing premiums by double-digit percentages. Ending the CSR payments will further erode the remaining market stability, impacting tens of thousands of our patients.

“We are additionally concerned that this decision has been made practically on the eve of an open enrollment period, potentially creating additional confusion for consumers already facing a shorter window in which to obtain health coverage.

“We urge Congress to act immediately to reinstate these payments and to engage in bipartisan discussions to improve our health care system and ensure access to comprehensive, affordable health care for everyone. We also encourage our patients here in Washington to get covered and stay covered by visiting Washington Healthplanfinder at www.wahbexchange.org starting Nov. 1.”

About the WSMA
The Washington State Medical Association represents nearly 11,000 physicians, physician assistants, resident physicians and medical students in Washington state. The WSMA has advocated on behalf of the House of Medicine more than 125 years. Our vision is to make Washington state the best place to practice medicine and receive care.

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Published 10/13/2017

Published 9/25/2017 

The Washington State Medical Association responds to Graham-Cassidy bill

 
WSMA PRESS STATEMENT
For Immediate Release
  CONTACT
Sept. 25, 2017   Graham Short
206.956.3633
gfs@wsma.org
 
 
 
 
 
 
 
 


The Washington State Medical Association responds to Graham-Cassidy bill


Seattle, Wash. – Washington State Medical Association (WSMA) President Shane Macaulay, MD, issued the following statement today in response to the Graham-Cassidy bill in the U.S. Senate that would repeal and replace the Affordable Care Act:

“At the WSMA, we are deeply concerned with the Graham-Cassidy bill and its impact on Washington state. The bill’s proposal to repeal the Affordable Care Act and Medicaid expansion and replace with block grants would result in massive cuts to our Medicaid program. Studies indicate Washington could lose nearly $10 billion over the next 10 years. Such devastating cuts would not only impact those who have benefited from the program’s expansion, but also those patients who qualify for traditional Medicaid services, such as children and the disabled. In addition to putting coverage out of reach for thousands of Washingtonians, the cuts would severely impact our state’s already strained budget and would force people to access routine care through emergency rooms, driving up the cost of care for all.

“The bill also would undermine protections for those with pre-existing conditions, threatening the existing coverage finally obtained by many under the ACA. Furthermore, the bill would repeal the individual and employer mandates, which would create further market uncertainty and endanger employer-sponsored coverage.

“The WSMA is committed to improving health care in our state, but we believe that any legislative effort should be guided by our principles for health care reform, at the heart of which is access to comprehensive, affordable health care for all Washingtonians. Adequate funding for Medicaid and stability in the market are essential if we are to ensure that everyone in our state has access to affordable coverage.

“We urge lawmakers in both chambers to reject this proposal and instead engage in bipartisan discussions to improve the health care system and ensure access to high-quality, affordable care and coverage.”

Click here to read WSMA’s Principles for Health Care Reform.

About the WSMA
The Washington State Medical Association represents nearly 11,000 physicians, physician assistants, resident physicians and medical students in Washington state. The WSMA has advocated on behalf of the House of Medicine more than 125 years. Our vision is to make Washington state the best place to practice medicine and receive care.

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Published 9/25/2017

Published 7/30/2017 

WSMA President's Statement on the Health Care Freedom Act

 
WSMA PRESS STATEMENT
For Immediate Release
  CONTACT
July 30, 2017   Amy Snow Landa on behalf of the WSMA
206.747.5912
asnowlanda@feareygroup.com
 
 
 
 
 
 
 
 






WSMA PRESIDENT’S STATEMENT ON THE HEALTH CARE FREEDOM ACT

Shane Macaulay, MD


Seattle, Wash. — Washington State Medical Association (WSMA) President Shane Macaulay, MD, issued the following statement today in response to the U.S. Senate’s vote to reject the Health Care Freedom Act, also known as the “skinny repeal” of the Affordable Care Act:

“We commend the majority of U.S. senators, including Senator Patty Murray and Senator Maria Cantwell, for voting against a so-called ‘skinny repeal’ of the Affordable Care Act that would have reversed the gains we have made in Washington state in reducing the number of uninsured and making comprehensive, affordable insurance attainable for many of our patients.

“At the WSMA, our focus is on making Washington the best place to practice medicine and to receive care. Our principles for health care reform center around access to comprehensive, affordable health care for all Washingtonians, including support for adequate funding for Medicaid and Medicare and the preservation of coverage attained through the Affordable Care Act. Our principles also call for stabilizing the health insurance market to ensure choice and insurer participation. The proposals put forward in the Senate, if enacted, would jeopardize that vision.

“The individual insurance mandate in the Affordable Care Act is intended to support stability in the market and is integral to the Affordable Care Act. The Health Care Freedom Act would have eliminated the individual mandate, which the Congressional Budget Office projected last year would result in millions more people being uninsured by 2026. In our state, we are already seeing insurers pull out of the individual market due to market uncertainty. Eliminating the individual mandate would make the current instability in the individual market worse.

“Going forward, the WSMA urges Congress to put aside partisan rhetoric and instead engage in bipartisan discussions with physicians and other health care organizations to improve the health care system to ensure access to high-quality, affordable care and coverage.”

Click here to read WSMA’s Principles for Health Care Reform.

About the WSMA

The Washington State Medical Association is the only organization that represents the interests and priorities of all physicians, resident physicians, medical students and physician assistants in Washington state. Our more than 10,000 members stand together, across disciplines and practice types, to influence public policy impacting health care delivery and shape the future of the profession. The WSMA has advocated on behalf of the House of Medicine for more than 125 years. Our vision is to make Washington state the best place to practice medicine and receive care.

Published 6/26/2017 

WSMA President's Statement on Better Care Reconciliation Act

 
WSMA PRESS STATEMENT
For Immediate Release
  CONTACT
June 23, 2017   Amy Snow Landa on behalf of the WSMA
206.747.5912
asnowlanda@feareygroup.com
 
 
 
 
 
 
 
 






WSMA PRESIDENT’S STATEMENT ON BETTER CARE RECONCILIATION ACT

Shane Macaulay, MD


Seattle, Wash. — Washington State Medical Association (WSMA) President Shane Macaulay, MD, issued the following statement today in response to the unveiling of the U.S. Senate’s Better Care Reconciliation Act:

“At the WSMA, our focus is on making Washington the best place to practice medicine and to receive care. However, the ‘discussion draft’ of the Senate’s Better Care Reconciliation Act jeopardizes that vision. Like the House-passed American Health Care Act, the Senate bill would reverse the gains we have made in Washington state in reducing the number of uninsured and would make affordable insurance unattainable for many of our patients. For those reasons, we cannot support the Better Care Reconciliation Act.

“At the heart of the WSMA’s principles for health care reform is access to comprehensive, affordable health care for all Washingtonians, including support for programs like Medicaid and Medicare and through the preservation of coverage attained through the Affordable Care Act. Our principles also call for stabilizing the health insurance market to ensure choice and insurer participation.

“Adequate funding for Medicaid and stability in the market are essential if we are to ensure that all Washingtonians have access to affordable coverage. By compromising these provisions in their proposal to change the Affordable Care Act, Congress has only exacerbated the problem. In our state, we are already seeing insurers pull out of the individual market due to market uncertainty. We’ve also seen proposed increases in insurance rates of over 20 percent. This impacts not only the most vulnerable, but also those with employer-sponsored coverage. By dropping the employer mandate, the Senate bill increases the likelihood that employers will pull back from offering coverage to their employees as prices begin to climb."

Click here to read WSMA’s Principles for Health Care Reform.

About the WSMA

The Washington State Medical Association is the only organization that represents the interests and priorities of all physicians, resident physicians, medical students and physician assistants in Washington state. Our more than 10,000 members stand together, across disciplines and practice types, to influence public policy impacting health care delivery and shape the future of the profession. The WSMA has advocated on behalf of the House of Medicine for more than 125 years. Our vision is to make Washington state the best place to practice medicine and receive care.

Published 5/11/2017 

Washington State Physicians Praise Lawmakers for Expanding Patient Access to Care Through Telemedicine

 
WSMA PRESS STATEMENT
For Immediate Release
  CONTACT
May 11, 2017  

Graham Short
Associate Director of Communications
206.956.3633 or gfs@wsma.org

Amy Snow Landa on behalf of the WSMA
206.747.5912 or asnowlanda@feareygroup.com

 
 
 
 
 
 
 
 


Washington State Physicians Praise Lawmakers for Expanding Patient Access to Care Through Telemedicine

Gov. Inslee signed the telemedicine bill SB 5436 on May 5


Seattle, Wash. — The Washington State Medical Association, which represents over 10,000 physicians and physician assistants, commends Gov. Jay Inslee and the Washington State Legislature for enacting legislation that will improve access to basic health care services through telemedicine, especially for patients in rural and underserved communities in our state.

Senate Bill 5436, sponsored by Sen. Randi Becker (R-Eatonville) and passed by lawmakers during the 2017 state legislative session, clarifies the definition of “home” for telemedicine services that qualify for reimbursement by Medicaid and commercial insurers. Under the legislation, “home” no longer applies only when patients are physically in their home but will also include “any location determined by the individual receiving the service.” This change will take effect Jan. 1, 2018. Gov. Inslee signed the bill into law on May 5.

“We are pleased to see our state’s elected officials support innovative solutions to health care access by improving access to telemedicine services,” said WSMA President Shane Macaulay, MD, a practicing radiologist. “SB 5436 is another important step toward ensuring that people in all areas of our state get the care they need.”

The WSMA has supported previous legislation passed by the Legislature to improve patients’ access to health care through telemedicine. In 2015, the Legislature established a health insurance reimbursement policy for services delivered through telemedicine. The legislation established “originating sites” for telemedicine services that included hospitals, rural health centers, federally qualified health centers, health care providers’ officers, community mental health centers, skilled nursing facilities and renal dialysis centers.

In 2016, the Legislature added the patient’s home as an originating site, which provided for reimbursement for telemedicine services when the patient is at home. The Legislature also established the Washington State Telehealth Collaborative to develop recommendations to improve access to these services.

“Telemedicine is an important tool for addressing the health care needs of Washington citizens, especially in rural and underserved communities that continue to face a severe shortage of primary care physicians and specialists,” said Jennifer Hanscom, the WSMA’s executive director and CEO. “We must look at multiple solutions, including not only telemedicine but also training more physicians, working to retain our resident physicians in state and making sure that physicians can afford to continue caring for patients.”

The WSMA also applauds passage this spring of House Bill 1337, which calls for the adoption of the Interstate Medical Licensure Compact that allows physicians to receive an expedited license to practice medicine in member states. Gov. Inslee signed the bill into law on May 5. With the enactment of this legislation, Washington will join 19 other states, including Idaho and Montana, as members of the compact. The compact is another important tool for increasing access to health care for individuals in underserved or rural areas, in part by allowing patients to more easily consult medical experts across state lines through the use of telemedicine technologies.

About the WSMA
The Washington State Medical Association is the only organization that represents the interests and priorities of all physicians, resident physicians, medical students and physician assistants in Washington state. Our more than 10,000 members stand together, across disciplines and practice types, to influence public policy impacting health care delivery and shape the future of the profession. The WSMA has advocated on behalf of the House of Medicine for more than 125 years. Our vision is to make Washington state the best place to practice medicine and receive care.

Published 5/5/2017 

WSMA President's Statement on U.S. House of Representatives' Passage of the American Health Care Act

 
WSMA PRESS STATEMENT
For Immediate Release
  CONTACT
May 5, 2017   Amy Snow Landa on behalf of the WSMA
206.747.5912
asnowlanda@feareygroup.com
 
 
 
 
 
 
 
 


WSMA President’s Statement on the American Health Care Act

Shane Macaulay, MD


Seattle, Wash. — Washington State Medical Association (WSMA) President Shane Macaulay, M.D., issued the following statement today following the U.S. House of Representatives’ passage of the American Health Care Act (AHCA):

“The Washington State Medical Association is deeply disappointed that the U.S. House of Representatives passed the American Health Care Act. As amended in the House, the AHCA would reduce access to affordable health care coverage for thousands of Washingtonians. The WSMA cannot support the version of the AHCA passed yesterday. Thousands of our most vulnerable patients - those who are low income, disabled and older - and patients purchasing plans through the exchange may lose access to affordable health care coverage if this legislation is enacted into law.

“We at the WSMA are firmly committed to seeking solutions that bring better care for our patients. While we stand ready to engage in finding solutions that will address the flaws in our current health care system, this work cannot be done in isolation. To date, there have been no public hearings on the AHCA. The legislation has been drafted and amended by House lawmakers with virtually no input from health care stakeholders. Moreover, the House passed the AHCA without waiting for an updated score from the Congressional Budget Office.

“We are grateful that most of Washington state’s congressional delegation stood with us, as all six U.S. House Democrats along with Republican Reps. Dave Reichert and Jaime Herrera Beutler voted against the plan. As this bill passes out of the House, we urge lawmakers in the Senate to take a thoughtful and deliberate approach when considering this version of health care reform and its potential impact on patients and health care providers. The physicians of Washington state stand on the frontlines of care. It is our goal to work together toward positive health outcomes for all.”

Click here to read WSMA's Principles For Health Care Reform

About the WSMA
The Washington State Medical Association is the only organization that represents the interests and priorities of all physicians, resident physicians, medical students and physician assistants in Washington state. Our more than 10,000 members stand together, across disciplines and practice types, to influence public policy impacting health care delivery and shape the future of the profession. The WSMA has advocated on behalf of the House of Medicine for more than 125 years. Our vision is to make Washington state the best place to practice medicine and receive care.