| an_end-of-year_message_of_gratitude_and_progress | An End-of-Year Message of Gratitude and Progress | Leadership | Shared_Content/News/Latest_News/2025/an_end-of-year_message_of_gratitude_and_progress | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/december/LDC_white-coat-2024.jpg" class="pull-right" alt="WSMA members at LDC" /></div>
<h5>Dec. 30, 2025</h5>
<h2>An End-of-Year Message of Gratitude and Progress</h2>
<p>From WSMA CEO Jennifer Hanscom</p>
<p>As 2025 draws to a close, I wanted to express my deepest appreciation to you, our members, for your support, engagement, and unwavering commitment to medicine and to your WSMA.</p>
<p>Going into my 13<sup>th</sup> year as WSMA’s CEO, it remains an extraordinary privilege to serve Washington state's physician community. Over the past decade, health care has evolved in increasingly complex and unpredictable ways. While that reality brought challenges, it also reinforced why WSMA's mission, and your collective voice, matter more than ever.</p>
<p>Thanks to your engagement, the leadership of our physician volunteers, and the dedication of our professional staff, WSMA’s membership grew by 3.5% in 2025. Our membership retention remained strong at 90%, and we welcomed 856 brand-new members, exceeding our yearly goal. These numbers represent something far more important than metrics: They reflect a growing, engaged physician community committed to advocacy and leadership.</p>
<p>In 2025, WSMA’s advocacy was proactive, strategic, and effective. Together, we protected patients, physicians, and science-based medicine by:</p>
<ul>
<li>Successfully suing the U.S. Department of Health and Human Services to restore <a href="https://wsma.org/Shared_Content/News/Press_Release/2025/defendants-in-wsma-v-kennedy-agree-to-restore-deleted-public-health-data">deleted taxpayer-funded public health data</a> impacting marginalized communities.</li>
<li><a href="https://wsma.org/Shared_Content/News/Press_Release/2025/president-john-bramhall-md-phd-reaffirms-the-wsmas-commitment-to-medical-ethics">Combating incorrect or misleading medical information</a>.</li>
<li>Ensuring timely licensure approvals for newly hired physicians and staff.</li>
<li>Defeating all <a href="https://wsma.org/wsma/advocacy/legislative___regulatory/Legislative%20Activities/wsma/advocacy/legislative_regulatory/legislative-activities.aspx?hkey=231ee068-da1d-49ae-b5bc-01a857b21a9b">unsafe scope-of-practice legislation</a>.</li>
<li>Securing <a href="https://wsma.org/wsma/advocacy/legislative___regulatory/Legislative%20Activities/wsma/advocacy/legislative_regulatory/legislative-activities.aspx?hkey=231ee068-da1d-49ae-b5bc-01a857b21a9b">confidentiality protections</a> for physician and physician assistant well-being programs.</li>
<li>Preserving science-guided <a href="https://wsma.org/wsma/advocacy/legislative___regulatory/Legislative%20Activities/wsma/advocacy/legislative_regulatory/legislative-activities.aspx?hkey=231ee068-da1d-49ae-b5bc-01a857b21a9b">public health and vaccine communications</a>.</li>
<li>Passing the <a href="https://wsma.org/wsma/advocacy/advocacy-topics/medicaid-reimbursement/wsma/advocacy/advocacy-topics/medicaid-reimbursement.aspx?hkey=9d480d44-163e-4124-a5bd-b02c424b845e">Medicaid Access Program</a> to pursue future reimbursement increases.</li>
<li><a href="https://wsma.org/wsma/membership/why_join_the_wsma/our_impact/wsma/membership/why_join_the_wsma_/our_impact.aspx?hkey=4cbb82b9-b1fe-4983-8e98-9208c0f6fe95">Advancing federal advocacy</a> around Medicaid cuts, much-needed Medicare payment reform, prior authorization modernization, and opposing harmful federal proposals.</li>
</ul>
<p><a href="https://wsma.org/wsma/membership/why_join_the_wsma/our_impact/wsma/membership/why_join_the_wsma_/our_impact.aspx?hkey=4cbb82b9-b1fe-4983-8e98-9208c0f6fe95">By the numbers</a>, your engagement helped drive action on more than 400 bills impacting the profession and patients, generated more than 3,000 messages to legislators, filled a sold-out Legislative Summit, supported nine statewide road-trip events, and informed 72 state and federal rulemakings.</p>
<p>Beyond the Legislature, your WSMA actively <a href="https://wsma.org/wsma/advocacy/your-care-is-at-our-core/wsma/advocacy/your-care-is-at-our-core.aspx?hkey=e7b72239-4fec-4a55-92d9-462cbf769389">champions science, evidence-based medicine, and affordable patient care</a>, and you, our members, are central to that work. In 2025 alone, the WSMA and physician voices were featured in more than 700 local, state, and national media mentions, shaping public understanding and influencing key conversations. We amplify these efforts across <a href="https://www.facebook.com/wsma.org/">Facebook</a>, <a href="https://x.com/WSMA_update">Twitter</a>, and <a href="https://www.linkedin.com/company/washington-state-medical-association">LinkedIn</a>, and provide ready-to-use <a href="https://wsma.org/wsma/advocacy/physician_advocacy/social-media-ambassador-program/wsma/advocacy/physician_advocacy/wsma-social-media-ambassador-program.aspx?hkey=1fe9fbaf-de48-4b56-bac6-fb1b4ca288c3">social media toolkits</a> so you can easily add your voice and extend our reach. By engaging with WSMA’s advocacy and communications efforts, you help build trust with patients, strengthen the physician voice, and advance the care our communities depend on.</p>
<p>We also made important investments in the future of medicine and public health. We secured more than $300,000 for our <a href="https://wsma.org/wsma/resources/better-prescribing-better-treatment/wsma/resources/better-prescribing-better-treatment/better-prescribing-better-treatment.aspx?hkey=a292b39e-5cd1-4d1f-88ad-2dab80619b46">WSMA Better Prescribing, Better Treatment Program</a>, a $150,000 two-year grant to address social drivers of health, and a $45,000 AMA Scope of Practice Partnership grant for 2026. Additionally, the WSMA Foundation will begin awarding its first <a href="https://wsma.org/Shared_Content/News/Press_Release/2025/wsma-selects-elson-s-floyd-college-of-medicine-for-new-medical-school-scholarship">$40,000 annual scholarship for a medical student</a> in 2026 to increase representation in medicine, an exciting milestone made possible by your generosity.</p>
<p>None of these accomplishments belong to any one individual. They reflect the collective strength of WSMA’s members, physician leaders, and staff working together on behalf of patients and the profession.</p>
<p>Thank you for your membership, your advocacy, and your belief in the power of organized medicine. As we look ahead to 2026, I am deeply optimistic about what we will continue to accomplish together.</p>
</div> | 12/30/2025 9:55:25 AM | 1/1/0001 12:00:00 AM |
| ceo-rounds-dec-26-2025-gov-ferguson-releases-budget-proposal-announces | CEO Rounds: Dec. 26, 2025 - Gov. Ferguson Releases Budget Proposal, Announces Support for State Tax | Leadership | Shared_Content/News/ceo-rounds/2025/ceo-rounds-dec-26-2025-gov-ferguson-releases-budget-proposal-announces | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/ceo-rounds/ceo-rounds-article-graphic-sean-graham-645x425px.png" class="pull-right" alt="CEO Rounds with Sean Graham, WSMA Senior Director of Government Affairs and Policy graphic" /></div>
<h5>Dec. 26, 2025</h5>
<h2>Gov. Ferguson Releases Budget Proposal, Announces Support for State Income Tax</h2>
<p>
Sean Graham, WSMA Senior Director of Government Affairs and Policy
</p>
<p>
The 2026 legislative session that begins in January will be defined largely by the state's continued budget challenges. Those challenges, and the dynamic around tax increases that may be considered next year, came into shaper relief this week with Gov. Bob Ferguson's release of an <a href="https://ofm.wa.gov/budget/state-budget-2025-27/26-proposed-supplemental/">operating budget proposal</a>.
</p>
<p>
In broad strokes, Gov. Ferguson proposes a mix of spending reductions ($800 million), fund transfers and tax preference modifications ($500 million), and tapping into the state's budget reserve account ($1 billion) to bridge what he defined as a $2.3 billion shortfall over the duration of the state budget cycle that runs through June 30, 2027. But the headlines from the governor's budget rollout will be focused on his announcement that he's supporting the establishment of a state income tax.
</p>
<p>
In a <a href="https://tvw.org/video/governor-bob-ferguson-supplemental-budget-rollout-2025121161/?eventID=2025121161">press conference</a> held on Tuesday, Gov. Ferguson stressed that his support for a "millionaires' tax" was separate from the budget he was proposing and intended to rebalance the state's tax system, which is generally considered regressive in its reliance on sales and property taxes. The governor's preferred income tax approach would be applied to individuals who make more than $1 million per year, assessed at a rate of 9.9%, with revenue going towards education, small business tax relief, and increases in the state's working families tax credit program.
</p>
<p>
During the 2025 session, Gov. Ferguson was critical of budget proposals from legislative Democrats that would have balanced a state budget shortfall with, among other measures, the establishment of a wealth tax. He drew a distinction with his income tax proposal in that it would not be intended to solve the state's short-term budget challenges, as it would be subject to referendum by the voters and legal challenges on its constitutionality. And while he expressed optimism that both could be overcome, he acknowledged that any revenue from a state income tax likely would not be received until at least 2029.
</p>
<p>
Turning to Gov. Ferguson's operating budget proposal, there are substantial impacts for the physician community and state health policy. Notably, cuts to Medicaid reimbursement rates for physical and behavioral health services are not included in the proposal, a distinction from other states that have recently closed budget gaps in part by cutting rates. And no new taxes are proposed on physician organizations. The proposal also assumes the federal government will provide the state $150 million through the <a href="https://www.hca.wa.gov/about-hca/programs-and-initiatives/value-based-purchasing/rural-health-transformation-program">Rural Health Transformation Program</a> (with details on how funding would be allotted to be determined).
</p>
<p>
But the proposal does include reductions in state support for Medicaid coverage for undocumented residents to reflect program enrollment reductions ($55 million), Foundational Public Health Services ($29 million), and Medicaid facility fee payments ($11 million), among other proposed cuts. The Medicaid pharmacy benefit would also shift from managed care to fee-for-service, which would save state funds and have impacts on drugs that may be prescribed for Medicaid enrollees, as well as associated utilization management changes.
</p>
<p>
On the revenue side of the ledger, Gov. Ferguson proposes ending preferential business and occupation tax treatment of prescription drug wholesalers ($27 million), clarifying application of premium tax to insurance carriers ($56 million), and eliminating a sales tax exemption for refurbishment of data centers ($63 million). There are also numerous fund transfers proposed, including a shift of the medical test site licensure account to the general fund ($1.5 million) and funding several programs through the health professions account which is comprised of licensure fees from physicians and other licensees.
</p>
<p>
As in the 2025 legislative session, the state's budget deficit will dominate discussions in Olympia next year. In the 2025 session, legislators worked to close a $16 billion shortfall using a combination of budget cuts and tax increases. Closing the current deficit, estimated at $3 to 5 billion, may seem like an easier task but it's made more difficult by virtue that some fiscal levers have already been pulled, and the state is partway through the two-year budget cycle meaning there's a shorter runway to bring the budget back into balance.
</p>
<p>
The 2026 legislative session convenes on Jan. 12 and is scheduled for 60 days. In addition to budget negotiations, legislators will consider thousands of bills through the course of session. Your WSMA advocacy team is at the Capitol daily, ensuring that the voice of the physician community is represented across policy and budget discussions. If you're interested in more information on what's on the table next session, join us for our pre-session webinar at 5:30 p.m. on Wednesday, Jan. 7. <a href="https://us06web.zoom.us/meeting/register/OnbzytQKSgKIfMlltbnTnQ">Register here</a>.
</p>
</div> | 12/26/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |
| registration-now-available-for-all-physician-leadership-trainings-in-2026 | Registration Now Available for All Physician Leadership Trainings in 2026 | Leadership | Shared_Content/News/Membership_Memo/2025/november-14/registration-now-available-for-all-physician-leadership-trainings-in-2026 | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2025/november/image002.jpg" class="pull-right" alt="people in meeting room listening to a speaker" /></div>
<h5>Nov. 14, 2025</h5>
<h2>Registration Now Available for All Physician Leadership Trainings in 2026 </h2>
<p>Make the WSMA's Center for Leadership Development your home for professional development in 2026, to help you hone competencies not taught in medical school but increasingly important to thrive in your chosen career path both professionally and personally. You'll join a growing cohort of physician alumni throughout Washington state, many of whom have since moved into leadership tracks in their practice settings. WSMA's leadership courses are led by Edward A. Walker, MD, MHA. Non-WSMA member pricing is available for all courses. These activities have been approved for <em>AMA PRA Category 1 Credit</em>â„¢.</p>
<h3><strong>Physician Leadership Course - </strong><strong><em>Most popular! </em></strong> </h3>
<p><em>Two hybrid-distance options available </em> </p>
<p>The WSMA's <a href="[@]wsma/education/physician_leadership/physician_leadership_course/wsma/physician_leadership/physician_leadership_course/physician_leadership_course.aspx?hkey=efdc4ad1-ff20-4089-ab51-caafbe73572b">Physician Leadership Course</a> combines face-to-face and online learning to enable physicians and physician assistants to begin developing and honing their leadership skills at their convenience. Designed with a physician's busy schedule in mind, only three in-person classes are required; the remainder of the course is conducted online. Two sessions will be offered in 2026. Space is limited; <a href="[@]wsma/education/physician_leadership/physician_leadership_course/wsma/physician_leadership/physician_leadership_course/physician_leadership_course.aspx?hkey=efdc4ad1-ff20-4089-ab51-caafbe73572b">register</a> to reserve your spot today.</p>
<p>March 6 - May 8, 2026 - <em>Space is filling fast, register soon! </em> </p>
<p>Sept. 11 - Nov. 20, 2026</p>
<h3><strong>Team-Based Leadership Course </strong></h3>
<p> </p>
<p><em>Sept. 18 - Oct. 16, 2026 </em> </p>
<p>A month-long hybrid-distance course with three live educational workshop days intended for physicians and their administrative partners who wish to improve team function and achieve greater operational success. The <a href="[@]wsma/education/physician_leadership/team-based-leadership-course/wsma/physician_leadership/dyad_leadership_course/dyad_leadership_course.aspx?hkey=37c40fee-c1ac-4056-a613-cd82a083db6c">Team-Based Leadership Course</a> develops knowledge and skills based on your operational needs and is adapted to fit the specific clinical culture of participating teams. Registrants must have completed the WSMA Physician Leadership Course or be on a leadership track within their practice or organization. Space is limited; <a href="[@]wsma/education/physician_leadership/team-based-leadership-course/wsma/physician_leadership/dyad_leadership_course/dyad_leadership_course.aspx?hkey=37c40fee-c1ac-4056-a613-cd82a083db6c">register</a> to reserve your spot today.</p>
<h3><strong>Leadership Masterclass </strong></h3>
<p> </p>
<p><em>Oct. 8-10, 2026 </em> </p>
<p>WSMA's <a href="[@]wsma/education/physician_leadership/leadership_masterclass/wsma/physician_leadership/leadership_masterclass/leadership_masterclass.aspx?hkey=b3ffc0a4-6cad-4a06-98aa-6e1a5e1e64b2">Leadership Masterclass</a> is an intensive three-day adaptive-learning course that examines the complex challenges faced by seasoned physician leaders and provides the tools necessary to solve them. The course will provide additional growth opportunities to physicians who have completed our <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE0OTkwNiZwPTEmdT0xMDc4MTA4MzYwJmxpPTExODQ3MjUwNw/index.html">Physician Leadership Course</a> and have moved on to middle levels of management in their facilities. Space is limited; <a href="[@]wsma/education/physician_leadership/leadership_masterclass/wsma/physician_leadership/leadership_masterclass/leadership_masterclass.aspx?hkey=b3ffc0a4-6cad-4a06-98aa-6e1a5e1e64b2">register</a> to reserve your spot today.</p>
<h3><strong>WSMA LEAD Program</strong></h3>
<p> </p>
<p><em>Flexible schedules</em> </p>
<p>Looking for one-on-one leadership coaching? Check out WSMA's LEAD Program, an integrated model that combines traditional coaching with operational mentorship advice. Perfect for physicians or physician assistants who may prefer more personalized and flexible education. Learn more on the <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE0OTkwNiZwPTEmdT0xMDc4MTA4MzYwJmxpPTExODQ3MjUxMA/index.html">program webpage</a> </p>
<h3><strong>Questions</strong></h3>
<p> </p>
<p>Visit the <a href="https://wsma.informz.net/z/cjUucD9taT0xMjE0OTkwNiZwPTEmdT0xMDc4MTA4MzYwJmxpPTExODQ3MjUwOQ/index.html">WSMA Center for Leadership Development</a> to learn more about these courses and other resources designed with your career and personal development in mind. Questions? Contact <a href="mailto:monica@wsma.org">Monica Salgaonkar</a>.</p>
</div> | 11/14/2025 12:00:00 AM | 1/1/0001 12:00:00 AM |