| wsma-urges-congress-to-curb-ice-enforcement-uphold-health-standards-in-detention-facilities | WSMA Urges Congress to Curb ICE Enforcement, Uphold Health Standards in Detention Facilities | Latest_News | Shared_Content/News/Press_Release/2026/wsma-urges-congress-to-curb-ice-enforcement-uphold-health-standards-in-detention-facilities | <div class="col-md-12">
<div class="col-sm-5 pull-right"><img src="/images/Logos/Press-Release-Graphic-2019-Branding.png" class="pull-right" alt="WSMA press release logo" /></div>
<h5>Feb. 5, 2026</h5>
<h2>WSMA Urges Congress to Curb ICE Enforcement, Uphold Health Standards in Detention Facilities</h2>
<p>
This morning, the president of the Washington State Medical Association, representing more than 13,500 physicians, resident physicians, physician assistants, and medical students in Washington state, issued the following statement in response to ongoing Congressional negotiations on potential changes to U.S. Department of Homeland Security enforcement activities.
</p>
<p>
"Yesterday afternoon, Congress adopted a continuing resolution to fund the Department of Homeland Security through Feb. 13, a compromise intended to keep the government open while negotiations on potential changes to DHS enforcement activities are considered.
</p>
<p>
"As they deliberate, we urge our elected representatives to act promptly to protect the health of our patients and our communities in the face of current Immigration and Customs Enforcement strategies.
</p>
<p>
"First, we urge an immediate return to the previous restrictions on ICE and Customs and Border Protection activities in or near health care facilities and other sensitive locations, restrictions that were rescinded by executive order when President Donald Trump took office. These prior common-sense limitations preserved critical access to medical care without compromising legitimate enforcement activities.
</p>
<p>
"Since these restrictions were rescinded, we have seen ICE enforcement activity in and near health care facilities and clinics here in Washington state and across the country. This activity is, understandably, having a negative impact on the welfare of patients. In a national survey of immigrants, nearly half of immigrant adults, a group that includes lawfully present immigrants and naturalized citizens, said that they or a family member had avoided seeking medical care since January 2025 due to fear of detention. This is concerning to us as a physician community."
</p>
<p>
"Second, we urge Congress to act to codify medical standards for Department of Homeland Security detention and holding facilities and to conduct rigorous oversight to ensure that ICE and Customs and Border Protection are abiding by their policies on safe and sanitary conditions and access to medical care. The U.S. Department of Homeland Security is accountable for providing detainees with appropriate medical care, food, water, and other basic human needs. Yet, a January 2026 report by the nonpartisan Government Accountability Office found that 'CBP developed policies and guidance for providing medical care to individuals in custody but has not consistently implemented them.' We are deeply troubled by recent reports that detainees at ICE facilities are experiencing inadequate sanitary conditions and are not receiving needed medical care or having basic human needs met, such as food and water.
</p>
<p>
"While we urge Congress to act, physicians and health professionals in Washington state and across the country are not waiting. We have been responding to this unfolding crisis with our minds and hearts first and foremost on our patients, regardless of immigration status. Clinics and health centers have stepped up by trying to increase telemedicine visits to allay the fears of in-person confrontation. They are expanding home visits to meet our patients in their home and eliminate the fear of leaving the house for care. And we are educating our fellow health professionals about immigrants' policies and rights.
</p>
<p>
"Now, we need our legislators to act. We are shocked, saddened, and in some cases, enraged, in response to the reports on the ground in Minnesota-including the killing of ICU nurse and Good Samaritan Alex Pretti-as well as from the constant drip of news of ICE enforcement in previously protected spaces like health settings. We ask Congress to act on these requests immediately for the sake of our country and all of its residents."
</p>
<p>
For more information contact:
</p>
<p>
Graham Short<br />
WSMA Director of Communications<br />
<a href="mailto:gfs@wsma.org">gfs@wsma.org</a> / 206.329.6851 cell/text</p>
<p>
Interviews available upon request.
</p>
<p>
<em>For WSMA's official letter to Washington state's congressional delegation, <a href="javascript://[Uploaded files/News and Publications/Press Room/letter-from-wsma-president-ice-and-cbp-enforcements-rep-randall.pdf]" target="_blank">click here</a>.</em></p>
<p>
<em>For relevant WSMA policy, the following policies regarding the protection of patient access to care regardless of immigration status were passed by the WSMA House of Delegates in September of 2025:</em>
</p>
<ul>
<li><em>The WSMA recognizes immigration enforcement and policy as a public health issue that negatively impacts access to care, trust in medical providers, and overall health outcomes.</em></li>
<li><em>The WSMA advocates for legal and policy protections that prohibit immigration enforcement actions within or targeting health care facilities and their data systems.</em></li>
<li><em>The WSMA supports expanded funding and infrastructure for telehealth services, especially for immigrant and undocumented communities, as a means of improving access and minimizing risk of exposure to enforcement activities.</em></li>
<li><em>The WSMA encourages education for medical providers and staff on patient privacy rights, emergency preparedness in the face of enforcement actions, and culturally safe communication with immigrant patients.</em></li>
</ul>
<p>
* * *
</p>
<p>
<strong>About the Washington State Medical Association</strong>
</p>
<p>
The WSMA represents more than 13,500 physicians, resident physicians, physician assistants, and medical students across all specialties and practice types in Washington state. The WSMA has advocated on behalf of the house of medicine for more than 135 years. Our vision is to make Washington state the best place to practice medicine and receive care.
</p>
&nbsp;</div> | 2/5/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| 2026-legislative-session-update-week-of-feb-2 | 2026 Legislative Session Update: Week of Feb. 2 | Latest_News | Shared_Content/News/Latest_News/2026/2026-legislative-session-update-week-of-feb-2 | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><a href="https://vimeo.com/1160353594"><img src="/images/Newsletters/latest-news/2026/february/leg-update-video-2-2-26.png" alt="WSMA Legislative Update: Week of Feb. 2, 2026" /></a></div>
<h5>February 2, 2026</h5>
<h2>2026 Legislative Session Update: Week of Feb. 2 - Members Advocate for the Profession and Patients at the Capitol</h2>
<p>WSMA President Bridget Bush, MD, FASA, brings you an update from the Washington State Capitol with a recap of last week's WSMA Legislative Summit, an overview of the issues that attendees addressed with their legislators, and a thank you to everyone who attended this yearly physician advocacy event. <a href="https://vimeo.com/1160353594">Watch the video here</a>.</p>
</div> | 2/2/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-members-at-the-capitol-a-recap-of-the-2026-legislative-summit | WSMA Members at the Capitol: A Recap of the 2026 Legislative Summit | Latest_News | Shared_Content/News/advocacy-report/2026/January 29/wsma-members-at-the-capitol-a-recap-of-the-2026-legislative-summit | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2026/january/029-Venticinque_260128_4768-straightened.jpg" class="pull-right" alt="Dr. Bridget Bush shaking hands with Gov. Bob Ferguson" /></div>
<h5>Jan. 29, 2026</h5>
<h2>WSMA Members at the Capitol: A Recap of the 2026 Legislative Summit</h2>
<p><em>WSMA members make their voices heard at sold-out event</em>
</p>
<p>WSMA member physicians, physician assistants, residents, and medical students converged at the state Capitol in Olympia this week for WSMA's annual Legislative Summit. This year's Summit was a sold-out event, reaching room capacity within two months of announcing registration—a first for the WSMA and a strong sign of the interest in WSMA members for hands-on engagement in legislative advocacy.</p>
<p>The Columbia Room at the Capitol filled quickly with members ready to hear from several of our state's health care leaders and from WSMA's government affairs team on our priority issues for this session, including preserving physician practices and patients' access to care; defending against inappropriate scope of practice expansions; medical title transparency; and preserving access to preventive services, including vaccines.</p>
<p>WSMA President Bridget Bush, MD, FASA, kicked off the morning with a welcome message, followed by WSMA Senior Director of Government Affairs and Policy Sean Graham for the dos and don'ts of meeting with legislators.</p>
<p>Up next, Washington state's new Secretary of Health Dennis Worsham talked about his journey from growing up in the small town of Othello, Washington, to a long career in public health before being appointed as our state's top health officer. He emphasized the Department of Health's commitment to data integrity, preserving access to vaccines, and strengthening population health. He highlighted the importance of physician advocacy, saying, "The ability to have a policy affect the entire state and larger populations is really important, and it's great that you all do your individual practices and services directly to people you care for, but also, I'm grateful that you are stepping into this larger arena that sets policies and practices that have a greater impact across our systems to make sure that we are affordable and accessible for those people who need those services and our preventative services."</p>
<p>Dr. Bush then handed the microphone to the morning's surprise guest, Gov. Bob Ferguson, who similarly emphasized the state's commitment to making public health decisions based on science, highlighting the formation of the West Coast Health Alliance, and acknowledging the budget challenges the state is facing as a result of H.R. 1., federal legislation passed last summer that includes more than $1 trillion in cuts to health care. In closing, he said, "I appreciate the partnership for all you do for Washingtonians and I hope you have a really wonderful day here at the Capitol."</p>
<p>After a full morning, members braved the rainy weather to pose for our annual "white coat" photo on the steps of the Capitol, then headed back to the Columbia Room for a box lunch before our last presentation of the day—a Q&amp;A with legislators Rep. Dan Bronoske, Sen. Ron Muzzall, and Rep. Joe Schmick, three out of four heads of our Legislature's health care committees, who thoughtfully answered member questions.</p>
<p>Members then disbursed throughout the Capitol campus to attend meetings with legislators from their districts, bringing front-line advocacy home to lawmakers.</p>
<p>Those of you who weren't able to attend the sold-out event, keep an eye out for more opportunities for engagement this session through our weekly session update videos, calls to action, and opportunities to testify in public hearings. For year-round advocacy opportunities, visit wsma.org and look under <a href="https://wsma.org/wsma/advocacy/wsma/advocacy/advocacy.aspx">Advocacy</a> and <a href="https://wsma.org/wsma/advocacy/physician_advocacy/physician-advocacy.aspx">Physician Advocacy</a> for ways to engage.</p>
<p>Thank you to everyone who attended this year's event! We'll share the date for the 2027 Summit as soon as it's available.</p>
</div> | 1/29/2026 4:53:46 PM | 1/1/0001 12:00:00 AM |
| legislative-session-update-wsma-priority-bills-advance | Legislative Session Update: WSMA Priority Bills Advance | Latest_News | Shared_Content/News/advocacy-report/2026/January 29/legislative-session-update-wsma-priority-bills-advance | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2026/january/2026-Leg-Session-Graphic%201.png" class="pull-right" alt="WSM 2026 Legislative Session Updates" /></div>
<h5>Jan. 29, 2026</h5>
<h2>Legislative Session Update: WSMA Priority Bills Advance</h2>
<p>Things are moving quickly in Olympia, where the 2026 legislative session is nearly one-third of the way through its scheduled 60 days. At this point in session, the primary focus of legislators is the consideration of the more than 1,100 bills that have been introduced this year, in addition to the approximately 1,500 that didn't pass last year and were automatically reintroduced.</p>
<p>The WSMA is tracking and engaging on more than 600 of the 2,600 bills in play and this week saw several of WSMA's priority bills approved by their respective policy and fiscal committees, including:</p>
<ul>
<li><strong>Vaccine and preventive service access</strong>
<ul>
<li>The WSMA is working in coalition to support <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=2242&amp;Year=2025&amp;Initiative=false" target="_blank">House Bill 2242</a> and <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=5967&amp;Chamber=Senate&amp;Year=2025" target="_blank">Senate Bill 5967</a> to preserve access to preventive services, including vaccines, on a covered basis through health insurance plans and the state's Childhood Vaccine Program, responding to recent and ongoing policy changes at the federal level.</li>
<li>Both HB 2242 and SB 5967 have been approved by their legislative health care committees. </li>
</ul>
</li>
<li><strong>Prior authorization</strong>
<ul>
<li>The WSMA is working in coalition to advance <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=5395&amp;Year=2025&amp;Initiative=false" target="_blank">Senate Bill 5395</a> to prohibit artificial intelligence from being used to deny coverage for services, require insurance carrier prior authorization policies be accessible in a standardized manner, and clarify an existing prohibition on retroactive denials of coverage authorizations.</li>
<li>SB 5395 was approved by the Senate Ways &amp; Means Committee on Jan. 27.</li>
</ul>
</li>
<li><strong>Medicaid rates</strong>
<ul>
<li>In the 2025 legislative session, the WSMA and the physician community successfully advocated for the passage of House Bill 1392, establishing the Medicaid Access Program. Unfortunately, implementation of the bill was blocked by HR 1. WSMA is advocating for <a href="https://app.leg.wa.gov/billsummary/?BillNumber=2385&amp;Year=2025&amp;Initiative=false" target="_blank">House Bill 2385</a> to extend the statutory deadlines of the Medicaid Access Program so that the state can pursue implementation of the law if the federal landscape changes.</li>
<li>HB 2385 was approved by the House Appropriations Committee on Jan. 28.</li>
</ul>
</li>
</ul>
</div> | 1/29/2026 4:53:46 PM | 1/1/0001 12:00:00 AM |
| 2026-legislative-session-update-week-of-jan-26 | 2026 Legislative Session Update: Week of Jan. 26 | Latest_News | Shared_Content/News/Latest_News/2026/2026-legislative-session-update-week-of-jan-26 | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><a href="https://vimeo.com/1157689317"><img src="/images/Newsletters/latest-news/2026/january/leg-update-video-1-26-26.png" alt="WSMA Legislative Update: Week of Jan. 26, 2026" /></a></div>
<h5>January 26, 2026</h5>
<h2>2026 Legislative Session Update: Week of Jan. 26</h2>
<p>WSMA Lobbyist Malorie Toman gives an update on WSMA priority bills to ensure patient access to preventive care, including vaccinations. <a href="https://vimeo.com/1157689317">Watch the video</a>.</p>
</div> | 1/26/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| ceo-rounds-jan-23-2026-physician-advocacy-four-things-to-know-this-week | CEO Rounds: Jan. 23, 2026 - Physician Advocacy: Four Things to Know This Week | Latest_News | Shared_Content/News/ceo-rounds/2026/ceo-rounds-jan-23-2026-physician-advocacy-four-things-to-know-this-week | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;">
<img src="https://wsma.org/images/Newsletters/ceo-rounds/ceo-rounds-article-graphic-2025-1290x850px.png" class="pull-right" alt="CEO Rounds with Jennifer Hanscom, WSMA CEO graphic" />
</div>
<h5>
Jan. 23, 2026
</h5>
<h2>
Physician Advocacy: Four Things to Know This Week
</h2>
<p>
Jennifer Hanscom, WSMA CEO
</p>
<p>
Next week, state legislators head into the third week of this year's 60-day legislative session. As they do, advocacy remains top of mind as they grapple with a significant state budget deficit. The WSMA is closely monitoring the discussion in Olympia, while also tracking developments at the federal level that could affect funding and resources for states.
</p>
<p>
At the federal level, the U.S. House has reportedly reached a <a href="wsma.informz.net/z/cjUucD9taT0xMjIzMjc2OCZwPTEmdT0xMTY4NjUwMjEzJmxpPTExOTc3NzI4Mw/index.html" target="_blank">compromise</a> that may support the continuation of telemedicine and state funding. Additionally, on Jan. 8, the House voted to extend the enhanced premium tax credit for three years, but it's unclear at the moment how the Senate will react to these proposals when it returns from recess.
</p>
<p>
Here at home in the "other" Washington, if you'd like an insider's overview of what's happening at our own Capitol, WSMA's government affairs team held a <a href="https://wsma.org/wsma/advocacy/legislative___regulatory/Legislative%20Activities/wsma/advocacy/legislative_regulatory/legislative-activities.aspx?_zs=bxcFl1&amp;_zl=abrXA" target="_blank">pre-session webinar</a> earlier this month that was attended by more than 100 physicians, residents, and medical students. The webinar provided a high-level overview of legislative issues expected to impact the physician community and their patients this session. If you weren't able to attend, a recording of the event, in both podcast and video formats, <a href="https://wsma.org/wsma/advocacy/legislative_regulatory/legislative-activities.aspx?hkey=231ee068-da1d-49ae-b5bc-01a857b21a9b&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927&amp;_zs=bxcFl1&amp;_zl=bbrXA" target="_blank">can be found here</a>.
</p>
<p>
In other news of interest:
</p>
<h3>
Immigrant welfare and access to care
</h3>
<p>
<a href="https://www.youtube.com/watch?v=k-vh--3HnMs&amp;t=5s" target="_blank">Physicians in Minnesota</a> have raised concerns about access to care for many of their patients. While the WSMA is unaware of barriers or disruptions in care in our communities, please note we do have resources on immigration law enforcement and clinic and patient rights <a href="https://wsma.org/wsma/resources/practice-management/immigrant-welfare/wsma/resources/practice-management/immigrant-welfare.aspx?hkey=f8b57929-686d-46ba-ab7d-c5d583bba7db&amp;_zs=bxcFl1&amp;_zl=dbrXA" target="_blank">on our website</a>. On that page, you'll also find links to regional and national immigrant legal resource networks for further support. If you have concerns you wish to share with the WSMA or resources that would be helpful to other members, please let us know. We want to know what's happening in our communities, so we can help ensure that all patients feel safe when accessing care.
</p>
<p>
</p>
<h3>
National Women Physicians Day event: '1001 Cuts' screening
</h3>
<p>At the request of WSMA President Bridget Bush, MD, and in honor of National Women Physicians Day, the WSMA is offering a <a href="https://wsma.org/Shared_Content/Events/Event_Display.aspx?eventkey=CUTS2026&amp;_zs=bxcFl1&amp;_zl=ebrXA" target="_blank">free online screening</a> of "1001 Cuts" on Tuesday, Feb. 3, at 6 p.m. via Zoom.</p>
<p>
</p>
<p>
Please join Dr. Bush and director Sarah Temkin, MD, for a special screening of this award-winning 24-minute film examining the challenges faced by women surgeons, while amplifying those issues for all physicians and health care professionals. The film seeks to inspire solutions to overcome barriers that persist for women in medicine, create collaborative health care environments that support excellence in care for all patients, and celebrate the contributions of women in medicine. Dr. Temkin will join Dr. Bush in hosting the screening and facilitating a Q&amp;A.
</p>
<p>
This activity is approved for <em>AMA PRA Category 1 Credit</em>â„¢. Space is limited so if you are interested, please <a href="https://wsma.org/Shared_Content/Events/Event_Display.aspx?eventkey=CUTS2026&amp;_zs=bxcFl1&amp;_zl=ebrXA" target="_blank">register soon</a>.
</p>
<p>
</p>
<h3>
A new way for rural physicians to engage with the WSMA
</h3>
<p>The WSMA is looking to engage more rural physicians in our policymaking process. Our <a href="https://wsma.org/Shared_Content/Events/Event_Display.aspx?eventkey=RURAL0126&amp;_zs=bxcFl1&amp;_zl=fbrXA" target="_blank">Rural Regional Section Kickoff and Listening Session</a> will be held Wednesday, Feb. 25, from 6:30-7:30 p.m. Join us to learn about the WSMA's new Rural Regional Section, a section for physicians practicing in counties where local county medical societies have disbanded or no longer meet the WSMA's definition of an "active medical society."</p>
<p>
</p>
<p>
At this virtual kickoff meeting, Amy Ellingson, MD, Dave Cundiff, MD, MPH, and the WSMA will share more about the Rural Regional Section, outline opportunities for engagement, including periodic virtual meetings, and hold a listening session focused on the joys and pains of practicing medicine in rural Washington to learn how this section can best serve rural physicians.
</p>
<p>
If you practice in or reside in a county without an active medical society, we hope you'll join us! <a href="https://wsma.org/Shared_Content/Events/Event_Display.aspx?eventkey=RURAL0126&amp;_zs=bxcFl1&amp;_zl=fbrXA" target="_blank">Register on the WSMA website</a>.
</p>
<p>
(Counties with members who qualify for the new Rural Regional Section include Asotin-Garfield, Clallam, Cowlitz-Wahkiakum, Grant-Adams, Jefferson, Klickitat-Skamania, Lewis, Lincoln, Okanogan, Pacific, Northeast Tri-Counties, Walla Walla-Columbia, and Whitman.)
</p>
<p>
</p>
<h3>
Exploring drivers of health and trust at the Leadership Development Conference
</h3>
<p>Registration is now open for WSMA's popular annual <a href="https://wsma.org/@/WSMA/Events/LDC/leadership_development_conference?hkey=c7532c38-057a-4568-8a3c-078182469222" target="_blank">Leadership Development Conference</a>. At this year's conference, we will explore our evolving understanding of what it means for physicians and their care teams to lead in today's health care environment. Physicians, practitioners, and patients are facing multiple challenges unique to our era, including the politicization of health care, the spread of incorrect or misleading health information, and increasing downstream effects of social drivers of health, and these unique challenges call for new competencies.</p>
<p>
</p>
<p>
The 2026 Leadership Development Conference will feature speakers and presentations that will look at leadership from underexplored angles, including how to show leadership as community health advocates, utilizing popular communication technologies to platform physician voices and evidence-based information, and embracing opportunities to harness cutting-edge solutions to social drivers of health. Confirmed speakers so far include Jim Krieger from Healthy Food America, speakers from the Help Me Grow network, physician influencers Kelly Casperson, MD, and Lora Shahine, MD, and a panel of local physician advocates on what they are doing in practice to address drivers of health, with more speakers to be confirmed.
</p>
<p>
This day-and-a-half educational event is for professionals at all leadership levels, from experienced leaders to up-and-comers, from large systems to small practices, rural and urban. Consider bringing your clinical team-the conference is an ideal opportunity for fostering collaboration, communication, and engaged team members. A discounted registration rate is available for WSMA members; non-member pricing is available. <a href="https://wsma.org/@/WSMA/Events/LDC/leadership_development_conference?hkey=c7532c38-057a-4568-8a3c-078182469222" target="_blank">Register online</a>. And remember, your registration fee will come with a discount on our suite of <a href="https://wsma.org/wsma/physician_leadership/center-for-leadership-development.aspx?_zs=bxcFl1&amp;_zl=hbrXA" target="_blank">immersive leadership courses</a> to help you continue on your leadership journey.
</p>
<p>
Additional speakers and an agenda will be announced shortly. This activity has been approved for <em>MA PRA Category 1 Credit</em>â„¢.
</p>
<p>
As this year's legislative session progresses, as always, we will continue to update you on issues being debated in Olympia via our Advocacy Report and Membership Memo. Additionally, you can follow us on <a href="https://www.facebook.com/wsma.org" target="_blank">Facebook</a>, <a href="https://x.com/WSMA_update" target="_blank">X</a>, and <a href="https://www.linkedin.com/company/washington-state-medical-association/" target="_blank">LinkedIn</a> for real-time updates.
</p>
<p>
Thank you for all you do for your patients and communities and for being a member of the WSMA.
</p>
</div> | 1/23/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| cms-awards-washington-181-million-for-rural-health-transformation-program | CMS Awards Washington $181 Million for Rural Health Transformation Program | Latest_News | Shared_Content/News/advocacy-report/2026/january-16/cms-awards-washington-181-million-for-rural-health-transformation-program | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2026/january/senior-male-patient-with-physician-645x425px.jpg" class="pull-right" alt="Senior male patient with physician" /></div>
<h5>Jan. 16, 2026 </h5>
<h2>CMS Awards Washington $181 Million for Rural Health Transformation Program </h2>
<p>The Centers for Medicare and Medicaid Services has approved Washington state's Rural Health Transformation Program plan and awarded approximately $181 million for the first year of the program.</p>
<p>In a statement, the Health Care Authority notes "These funds will support the hospitals, clinics, and providers that rural families rely on every day. While the need remains significant, this investment will help rural communities take important steps forward in accessible, safe, and sustainable health care." </p>
<p>The WSMA is grateful to Gov. Bob Ferguson and his administration, including the HCA, Department of Health, and the Department of Social and Health Services, for their leadership and work to secure this funding. We will continue to engage with the governor's office and state agencies to help ensure Rural Health Transformation Program funds are deployed in a manner that meaningfully supports physicians, care teams, and the patients they serve in rural communities.</p>
<p>The awarded amount is close to the state's original request of $200 million. State agencies are now revising the program budget to reflect the approved funding level.</p>
<h3>What's next </h3>
<p>According to the HCA, the agency is working with DOH and DSHS, in coordination with the governor's office, to make targeted budget adjustments that reduce-but do not eliminate-planned funding allocations.</p>
<p>CMS requires submission of a revised budget by Jan. 30, after which the agency will conduct a review within 30 days. Following CMS review, the state and CMS will finalize a cooperative agreement to formally advance the program.</p>
<h3>About the Rural Health Transformation Program </h3>
<p>Authorized under H.R. 1, the Rural Health Transformation Program makes up to $50 billion in federal funding available nationwide to support rural health care transformation.</p>
<p>For Washington, the program presents an opportunity to strengthen rural health systems and address the unique challenges facing rural communities across the state.</p>
<p>Learn more on the state's Rural Health Transformation Program <a href="https://www.hca.wa.gov/about-hca/programs-and-initiatives/value-based-purchasing/rural-health-transformation-program">webpage</a>.</p>
</div> | 1/16/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| congressional-advocacy-what-the-wsma-is-doing-at-the-federal-level | Congressional Advocacy: What the WSMA is Doing at the Federal Level | Latest_News | Shared_Content/News/advocacy-report/2026/january-16/congressional-advocacy-what-the-wsma-is-doing-at-the-federal-level | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2026/january/us-capitol-building-645x425px.jpg" class="pull-right" alt="US Capitol building" /></div>
<h5>Jan. 16, 2026 </h5>
<h2>Congressional Advocacy: What the WSMA is Doing at the Federal Level </h2>
<p>Important health care policies continue to be considered in Congress, and WSMA's advocacy efforts don't stop at our state border. Below are some updates from our work in the "other" Washington.</p>
<h3>Advocating against WISeR implementation </h3>
<p>At the request of Rep. Suzan DelBene's staff, the WSMA reached out to Washington's federal congressional delegation to request they sign on to a letter to House and Senate leadership and appropriators, co-led by Reps. Lois Frankel, Suzan DelBene, Lloyd Doggett, Mark Pocan, Greg Landsman, Ami Bera, Rick Larsen, Alexandria-Ocasio Cortez, and Jan Schakowsky, requesting language in any final FY26 funding agreement prohibiting the implementation of the WISeR Model or any related moves to introduce prior authorization requirements into traditional Medicare.</p>
<p>In 2025, the Centers for Medicare and Medicaid Services announced plans to implement a pilot program that would contract private companies, using artificial intelligence, to utilize prior authorization on certain medical services and devices under Medicare Part B. Over the past year, the <a href="[@]Shared_Content/News/advocacy-report/2025/december-19/end-of-year-update-wsma-advocacy-on-wiser-program.aspx?_zs=Pimae1&amp;_zl=pnKVA">WSMA has engaged extensively</a> to raise serious concerns about the WISeRModel and its potential impact on Washington physicians and Medicare patients.</p>
<h3>Are Medicare Advantage prior authorization policies harming your patients? Let us know</h3>
<p>The WSMA has received a request from Rep. Kim Shrier's office seeking patient stories or data from WSMA members about their experience with prior authorization utilized by Medicare Advantage that would assist in their advocacy and to track harmful impacts to Washington physicians and their patients. If you have an example of harm caused or barriers to patient care due to these policies, please contact <a href="mailto:policy@wsma.org">policy@wsma.org</a>.</p>
<h3>WSMA shares budget priorities with members of Congress </h3>
<p>Congress is currently negotiating a federal funding package ahead of the Jan. 30 funding deadline with implications for patients and physicians. The WSMA reached out to members of Washington's congressional delegation earlier this week, urging Congress to include extending enhanced premium tax credits and permanent Medicare telehealth flexibilities in any funding deal to protect access to affordable coverage and care.</p>
</div> | 1/16/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-priorities-for-the-2026-legislative-session | WSMA Priorities for the 2026 Legislative Session | Latest_News | Shared_Content/News/advocacy-report/2026/january-16/wsma-priorities-for-the-2026-legislative-session | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2026/january/2026-Leg-Session-Graphic%201.png" class="pull-right" alt="WSM 2026 Legislative Session Updates" /></div>
<h5>Jan. 16, 2026 </h5>
<h2>WSMA Priorities for the 2026 Legislative Session </h2>
<p>The 2026 legislative session began on Monday, Jan. 12, and over the next 60 days, lawmakers will be working to bridge an ongoing state budget deficit and consider more than 3,000 bills that are in play in Olympia this year.</p>
<p>Last week, WSMA's government affairs department held <a href="[@]wsma/advocacy/legislative___regulatory/Legislative%20Activities/wsma/advocacy/legislative_regulatory/legislative-activities.aspx#2026preSession">a pre-session webinar</a> where more than 100 physicians, residents, and medical students were provided a high-level overview of what's on the table for the physician community this session. If you weren't able to attend, a video of the event <a href="[@]wsma/advocacy/legislative_regulatory/legislative-activities.aspx?hkey=231ee068-da1d-49ae-b5bc-01a857b21a9b&amp;WebsiteKey=c182ff6d-1438-4899-abc5-614681b54927">can be found here</a> and below is a summary of WSMA's 2026 legislative priorities.</p>
<ul>
<li>Budget
<ul>
<li>H.R. 1 response
<ul>
<li>The tax and spending bill approved by Congress and signed into law by President Donald Trump in July contains numerous policies cutting federal funding for health care and limiting patients’ eligibility for enrollment in Medicaid. The WSMA is working in coalition with patient groups, state agencies, and other stakeholders to develop policy solutions to ensure as many residents of the state have access to essential health care services as possible.</li>
</ul>
</li>
<li>B&amp;O tax mitigation
<ul>
<li>Following business and occupation tax rate increases in 2019 and 2025, for most physician organizations the B&amp;O tax rate has increased by 40% in the last five years. Taken together, these tax increases cost health care organizations an estimated $100 million annually. The WSMA is asking the Legislature to revisit the B&amp;O tax rate for physician groups and health care organizations, mitigating the impact of recent increases in the interest of preserving independent practice and patient access to care.</li>
</ul>
</li>
<li>Medicaid rates
<ul>
<li>WSMA successfully advocated for the passage of <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=1392&amp;Year=2025&amp;Initiative=false">House Bill 1392</a> during the 2025 session, establishing the Medicaid Access Program to increase Medicaid rates. Unfortunately, H.R. 1 includes a provision that blocks implementation of the law. While we continue to monitor for opportunities to pursue federal approval, we will be exploring alternative methods to increase Medicaid rates and promote access to care for patients. And we are also advocating for the passage of <a href="https://app.leg.wa.gov/billsummary/?BillNumber=2385&amp;Year=2025&amp;Initiative=false">House Bill 2385</a> to extend the statutory deadlines of the Medicaid Access Program so that the state can pursue implementation of the law if the federal landscape changes.</li>
</ul>
</li>
</ul>
</li>
<li>Policy
<ul>
<li>Vaccine and preventative service access
<ul>
<li>As federal institutions continue to move away from evidence-based recommendations on public health measures, our state's coverage of and access to immunizations and other preventative services are at risk. The WSMA is working in coalition to support <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=2242&amp;Year=2025&amp;Initiative=false">House Bill 2242</a> and <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=5967&amp;Chamber=Senate&amp;Year=2025">Senate Bill 5967</a> to preserve access to preventative services, including vaccines, on a covered basis through health insurance plans and the state's Childhood Vaccine Program.</li>
</ul>
</li>
<li>Prior authorization
<ul>
<li>When physicians recommend a service or a drug for a patient, coverage is often conditioned on prior authorization from a patient's insurance carrier. The WSMA is grateful for recent legislative action to modernize prior authorization. As technology advances, further reform is needed to ensure care can be delivered in an appropriate and expeditious manner. The WSMA is working in coalition to advance <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=5395&amp;Year=2025&amp;Initiative=false">Senate Bill 5395</a> to prohibit artificial intelligence from being used to deny coverage for services, require insurance carrier prior authorization policies be accessible in a standardized manner, and clarify an existing prohibition on retroactive denials of coverage authorizations.</li>
</ul>
</li>
<li>Insurance payment reforms
<ul>
<li>The administrative and financial burdens associated with insurance contracting and payment constitute a significant challenge in maintaining independent physician practices. The requirements from any given insurance carrier can be difficult to navigate; taken together across carriers, they form a complex and shifting labyrinth of hurdles for practices to navigate. We're advocating for <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=5845&amp;Year=2025&amp;Initiative=false">Senate Bill 5845</a> to require insurance carriers to provide prompt payment for care that is delivered; <a href="https://app.leg.wa.gov/billsummary?BillNumber=6071&amp;Year=2026&amp;Initiative=false">Senate Bill 6071</a> to limit the ability of carriers to claw back payment after care is delivered; and <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=2106&amp;Year=2025&amp;Initiative=false">House Bill 2106</a> to require approval of significant contract revisions between insurance carriers and practices.</li>
</ul>
</li>
<li>Medical title transparency
<ul>
<li>As care delivery has evolved to be more team-based, the credentials and titles used by health care practitioners play a crucial role in ensuring transparency and trust with patients. Similar to laws currently on the books in 38 states, <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=2261&amp;Year=2025&amp;Initiative=false">House Bill 2261</a> would require disclosure of credentials in advertising and badging. This bill was developed by the WSMA in conjunction with physician specialty organizations.</li>
</ul>
</li>
<li>Scope of practice
<ul>
<li>The WSMA annually engages on a host of scope of practice bills pursuant to <a href="[@]wsma/about/policies/whats_our_policy/scope-of-practice/scope-of-practice-general.aspx">our established policy</a> that focuses on appropriate education and training to ensure patient safety. In the 2026 session, we're expecting to work on scope proposals from pharmacists, naturopaths, psychologists, and nurses, in addition to returning proposals mandating reimbursement for advance practice providers at the same rate as physicians.</li>
</ul>
</li>
</ul>
</li>
</ul>
<p>As session progresses, we'll be sharing opportunities for WSMA members to engage on these issues and others. If you have questions about our priority issues or anything that's being considered in Olympia this year, contact WSMA Senior Director of Government Affairs and Policy <a href="mailto:sean@wsma.org">Sean Graham</a>.</p>
</div> | 1/16/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| new-department-of-health-report-maternal-deaths-increased-62-percent-since-2020 | New Department of Health Report: Maternal Deaths Increased 62% Since 2020 | Latest_News | Shared_Content/News/Membership_Memo/2026/january-9/new-department-of-health-report-maternal-deaths-increased-62-percent-since-2020 | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2026/january/pregnant-patient-645x425px.jpg" class="pull-right" alt="Pregnant patient" /></div>
<h5>Jan. 9, 2026</h5>
<h2>New Department of Health Report: Maternal Deaths Increased 62% Since 2020 </h2>
<p>
The Department of Health has released its <a href="https://doh.wa.gov/sites/default/files/2025-10/141-253-MaternalMortalityReviewPanelReport-2025.pdf" target="_blank" rel="noreferrer">2025 Maternal Mortality Review Panel report</a> presenting findings from 2021-2022 and offering recommendations to improve care and save lives. Pregnancy-related maternal mortality rates in Washington rose to 30.5 per 100,000 live births in 2021-2022, a statistically significant increase from the state's rate of 19.0 per 100,000 live births in 2017-2020.
</p>
<p>
Other key findings include: Most pregnancy-related deaths (82%) were preventable. The leading underlying cause of pregnancy-related death was accidental overdose, accounting for 33% of deaths, with most cases involving fentanyl. COVID-19 was the second-highest cause at 14%, followed by cardiovascular conditions (10%), suicide (10%), and thrombotic embolisms or blood clots (10%).
</p>
<p>
To help prevent maternal deaths from COVID-19, the department and the <a href="https://governor.wa.gov/news/2025/washington-california-and-oregon-launch-new-west-coast-health-alliance-uphold-scientific-integrity">West Coast Health Alliance recommend the COVID-19 vaccine</a> for all pregnant people, as well as for those who are planning pregnancy, are postpartum, or are lactating. Every COVID-19 death in the new report occurred in someone who was unvaccinated or only partially vaccinated at the time of diagnosis. The report also includes recommendations to address the root causes and systemic gaps contributing to these deaths. Learn more on the <a href="https://doh.wa.gov/newsroom/department-health-releases-2025-maternal-mortality-review-panel-report">Department of Health website</a>.
</p>
</div> | 1/9/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| resolve-contract-hub-brings-greater-clarity-to-physician-compensation-and-contracts | Resolve Contract Hub Brings Greater Clarity to Physician Compensation and Contracts | Latest_News | Shared_Content/News/Membership_Memo/2026/january-9/resolve-contract-hub-brings-greater-clarity-to-physician-compensation-and-contracts | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2026/january/guaranteed-compensation-distribution-645x425px.png" class="pull-right" alt="Guaranteed Compensation Distribution chart" /></div>
<h5>Jan. 9, 2026</h5>
<h2>Resolve Contract Hub Brings Greater Clarity to Physician Compensation and Contracts </h2>
<p>*Sponsored Content*</p>
<p>
<em>Navigate employment contracting with confidence </em>
</p>
<p>
Understanding physician compensation and employment contracts has become increasingly complex. To help physicians navigate contract terminology and negotiate with confidence, Resolve, a trusted partner of the Washington State Medical Association, has released a <a href="https://go.resolve.com/contract-hub-wsma?utm_campaign=Washington%20State%20Medical%20Association&amp;utm_source=article&amp;utm_medium=website&amp;utm_content=contract-hub-article">compensation and contract data dashboard</a> designed to deliver clearer, more actionable insights for physicians across all specialties.
</p>
<p>
The Contract Hub allows physicians to upload new or existing employment contracts and compare them against real-time market data based on specialty, geography, and practice setting. This helps physicians quickly assess whether compensation, productivity expectations, and other contract terms align with current norms in Washington and beyond.
</p>
<p>
In addition to base compensation and productivity metrics, the Contract Hub provides visibility into key contractual components that can significantly impact long-term career outcomes, including:
</p>
<ul>
<li>Benefits structures </li>
<li>Malpractice insurance and tail coverage </li>
<li>Non-compete language </li>
<li>Call expectations and workload </li>
</ul>
<p>
These elements are displayed through clear visualizations, making it easier to interpret complex data and identify potential gaps or risks in an employment contract.
</p>
<p>
The <a href="https://go.resolve.com/contract-hub-wsma?utm_campaign=Washington%20State%20Medical%20Association&amp;utm_source=article&amp;utm_medium=website&amp;utm_content=contract-hub-article">Resolve Contract Hub</a> is designed to support physicians at every career stage-from residents and fellows reviewing first offers to experienced physicians evaluating new opportunities or reassessing current contracts. By leveraging detailed physician contract data, WSMA members gain a clearer understanding of how their job offers or full contracts compare to the broader market.
</p>
<p>
As part of WSMA's partnership with Resolve, members have access to the Contract Hub along with discounted pricing on Resolve's physician contract review and compensation advisory services. These tools are intended to help physicians approach employment decisions informed, prepared, and confident.
</p>
<p>
WSMA members can learn more about Resolve and access available benefits through the <a href="[@]wsma/membership/why_join_the_wsma_/partners-in-medicine/resolve.aspx">WSMA Partners in Medicine program here</a>. Use code <a href="https://go.resolve.com/wsma?utm_campaign=Washington%20State%20Medical%20Association&amp;utm_source=article&amp;utm_medium=website&amp;utm_content=contract%20hub%20article">WSMA10</a> for 10% off any package.
</p>
</div> | 1/9/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| the-power-of-health-savings-accounts | The Power of Health Savings Accounts | Latest_News | Shared_Content/News/Membership_Memo/2026/january-9/the-power-of-health-savings-accounts | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2026/january/doctor-piggy-bank-illustration-shutterstock-1860228250-645x425px.png" class="pull-right" alt="illustration of a doctor standing by a giant piggy bank" /></div>
<h5>Jan. 9, 2026</h5>
<h2>The Power of Health Savings Accounts </h2>
<p>
By Elizabeth Hail, Northern Capital Management
</p>
<p>
<em>Looking for a boost to your retirement savings options? Look closer into opening a health savings account</em>.
</p>
<p>
Health savings accounts are tax-advantaged savings accounts designed to cover health care expenses to and through retirement. These tax-advantaged accounts offer benefits akin to those of contributing to a pre-tax employer-sponsored retirement plan, such as tax-free contributions and tax-free growth. However, unlike your typical retirement account, health savings account contributions are made pre-FICA tax, making them even more tax-advantaged! While these vehicles were designed to help offset health care costs, many offer an investment menu, similar to your employer retirement plan. This allows you to invest a large portion of the account for potential appreciation above and beyond traditional savings rates.
</p>
<p>
<em>Notable: It is important to note that health savings accounts must be paired with a high-deductible health plan. As such, they are not available within all benefit structures.</em>
</p>
<p>
Benefits, per current law, include but are not limited to:
</p>
<ul>
<li>Potential quadruple tax exempt:
<ul>
<li>Tax-free contributions.</li>
<li>Tax-free growth.</li>
<li>Contributions made are pre-FICA tax.</li>
<li>Tax-free withdrawals (if used for qualified medical expenses).</li>
</ul>
</li>
<li>Penalty-free withdrawals after age 65.</li>
<li>Potential employer contributions to help fund your account.</li>
<li>Portability (you can transfer to a new employer, assuming they have a high-deductible health plan).</li>
</ul>
<p>
Other unique features include:
</p>
<ul>
<li>No time limit on reimbursement (if you keep records of your qualified medical expenses, you can make withdrawals against those reimbursements years down the road!).</li>
<li>Can be used to pay long-term care or COBRA premiums (up to certain limits).</li>
<li>Not subject to probate.</li>
</ul>
<p>
It is important to note that any health savings account withdrawal not used for qualified medical expenses will be subject to ordinary income tax and a 20% tax penalty. After age 65, or upon disability, the penalty is typically not assessed.
</p>
<p>
<strong>Primary takeaway:</strong> With their tax-advantaged nature and multifaceted benefits, health savings accounts can serve as a great complement to your overall financial plan. If you retain and invest your balance (not tap for medical expenses), those funds can compound to further enrich your retirement savings reservoir.
</p>
<h3>Questions?</h3>
<p>
Northern Capital Management advisors are certified financial planners with extensive experience working with medical professionals.
</p>
<p>
You may reach us by utilizing our <a href="https://northernwelcome.com/wsma-contact">WSMA member contact form</a>.
</p>
<p>
The WSMA is a client of Northern Capital Management and Northern Capital Retirement Services and receives compensation for promoting our services. As a result of the compensation arrangement there is an inherent conflict of interest. <a href="javascript://[Uploaded files/News and Publications/newsletters/2026/ncm-promoter-disclosure.pdf]" target="_blank">Disclosure</a>.
</p>
<p>
<a href="https://northernwelcome.com/wsma-members">Northern Capital Management</a>
</p>
<p>
See here for current IRS funding limits and more detailed information:
<a href="https://www.irs.gov/publications/p969">https://www.irs.gov/publications/p969</a>
</p>
<p>
Sources:
</p>
<ol>
<li>Cpa/Pfs, B. K. C. L. (2023, January 24). 9 facts about HSAs that might surprise your clients. Journal of Accountancy. <a href="https://www.journalofaccountancy.com/news/2023/jan/9-facts-hsa-that-might-surprise-your-clients.html">https://www.journalofaccountancy.com/news/2023/jan/9-facts-hsa-that-might-surprise-your-clients.html</a> </li>
<li>Publication 969 (2024), Health Savings Accounts and Other Tax-Favored Health Plans | Internal Revenue Service. (n.d.). <a href="https://www.irs.gov/publications/p969">https://www.irs.gov/publications/p969</a> </li>
</ol>
</div> | 1/9/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| washington-state-physician-societies-on-federal-revisions-to-childhood-vaccine-recommendations | Washington State Physician Societies on Federal Revisions to Childhood Vaccine Recommendations | Latest_News | Shared_Content/News/Press_Release/2026/washington-state-physician-societies-on-federal-revisions-to-childhood-vaccine-recommendations | <div class="col-md-12">
<div class="col-sm-5 pull-right"><img src="/images/Logos/Press-Release-Graphic-2019-Branding.png" class="pull-right" alt="WSMA press release logo" /></div>
<h5>Jan. 9, 2026</h5>
<h2>Statement from Washington State Physician Societies on Federal Revisions to Childhood Vaccine Recommendations </h2>
<p>Today, five leading Washington state physician and medical associations representing tens of thousands of Washington physicians and health care teams joined together to align their organizations with the <a href="https://doh.wa.gov/newsroom/washington-state-department-health-statement-federal-changes-childhood-vaccine-recommendations">Washington State Department of Health</a> and the <a href="https://doh.wa.gov/newsroom/west-coast-health-alliance-continues-recommend-vaccination-alignment-american-academy-pediatrics-aap">WestCoast Health Alliance</a> in expressing grave concerns with new federal revisions to the U.S. Child and Adolescent Immunization Schedule. Those revisions include removing routine childhood immunizations for several diseases that can have serious health impacts, including hepatitisA and B, rotavirus, RSV, influenza, and meningococcal disease. In addition, the five associations-the Washington State Medical Association, the Washington Chapter of the American Academy of Pediatrics, the Infectious Diseases Society of Washington, the Washington Academyof Family Physicians, and the Washington Chapter of the American College of Physicians-join the Department of Health and the West Coast Health Alliance in urging Washington families and health care practitioners to continue following the <a href="https://downloads.aap.org/AAP/PDF/AAP-Immunization-Schedule.pdf" target="_blank" rel="noreferrer">American Academy of PediatricsRecommended Child and Adolescent Immunization Schedule</a>, which is based on <a href="https://www.aap.org/en/news-room/fact-checked/fact-checked-u.s.-vaccine-recommendations-are-appropriate-for-children-in-the-united-states">established vaccine safety and effectiveness evidence</a>. </p>
<p>"The CDC has capriciously and without evidence made sweeping changes to childhood vaccinations. These changes are not based on current science and will put our children at greater risk of vaccine-preventable diseases," said Bridget Bush, MD, FASA, president of theWashington State Medical Association. "As physicians, we are guided by an oath to care for, to protect, and, first and foremost, do no harm to our patients. We cannot in good conscience recommend revisions that are not backed by scientific evidence. We stand with ourDepartment of Health and West Coast Health Alliance in urging Washingtonians to continue following the childhood vaccine recommendations from our colleagues at the American Academy of Pediatrics, which are based on the best-available science and have been protecting ourchildren from disease and illness for decades." </p>
<p>"Recent federal changes to the U.S. Child and Adolescent Immunization Schedule disregard decades of evidence-based research and the proven success of routine immunizations in preventing serious illness and death," said James A. Polo, MD, president of the WashingtonChapter of the American Academy of Pediatrics. "For generations, pediatricians have relied on rigorous science and clinical evidence to protect children from serious and preventable disease. We urge families that want to avoid unnecessary risk to follow the American Academy ofPediatrics' immunization schedule which reflects that commitment and remains the gold standard for child health." </p>
<p>"Vaccine science has decades of proof of both safety and efficacy," said Robert E. Geise, MD, fellow with the Infectious Diseases Society of America and president of the Infectious Diseases Society of Washington. "They have greatly diminished the impact and complications ofinfectious diseases on both children and adults. Complications are very, very rare, and the benefits have been demonstrated to far outweigh any risks. These reckless revisions to child vaccination recommendations and recent actions like the gutting of the ACIP and replacing agroup of highly trained and respected physicians with others not as qualified are leaving our children and vulnerable populations at significantly higher risk of disease." </p>
<p>"Vaccines remain our most effective protection against preventable diseases," said Sonal Patel, MD, MPH, president of the Washington Academy of Family Physicians. "Since the scientific evidence has not changed, the recommendations to safeguard our communities should not change either. Let's ensure that the guidance patients and physicians rely on remains grounded in science. Vaccines save lives." </p>
<p>"We are alarmed that the new changes in national pediatric vaccine policy reflect the advancement of individual philosophies rather than changes to guidelines based on evolving research,†said Chris Knight, MD, governor of the Washington Chapter of American College of Physicians. “When the health of our children, and the adults they associate with, is governed by ideology rather than science, chaos ensues and communities will be harmed. We stand with other professional societies and expert organizations that are guided by research as they make recommendations that address the needs of our country. Vaccinating children is a crucial step in maintaining the well-being of children, families, and the public at large."</p>
<p>The state medical associations urge Washingtonians who are confused or concerned about recent federal changes in the vaccine recommendations to speak with their physician or health care team if they have questions about their or their family's care. Washingtonians are alsoencouraged to keep up to date with vaccine and routine health recommendations through national and state medical associations and societies, which offer health guidance based on the best-available science. Many leading medical associations have websites and social mediaaccounts offering regular health tips and guidance. For a list of top medical association websites and social accounts, visit the <a href="https://wsma.org/wsma/resources/question-about-your-care/wsma/resources/Questions_About_Your_Care/do_you_have_questions_about_your_care.aspx?hkey=b4224ac7-d6b1-48da-8f6f-3ff560f4f559">WSMA website</a>. </p>
<p>For more information contact:</p>
<p>
Graham Short<br />
WSMA Director of Communications<br />
<a href="mailto:gfs@wsma.org">gfs@wsma.org</a> / 206.329.6851 cell/text</p>
<p><em>* * *</em> </p>
<p><strong>About the Washington State Medical Association</strong> </p>
<p>The WSMA represents approximately 13,500 physicians, resident physicians, physician assistants, and medical students across all specialties and practice types in Washington state. The WSMA has advocated on behalf of the house of medicine for more than 135 years. Our visionis to make Washington state the best place to practice medicine and receive care. </p>
<p><strong>About the Washington Chapter of the American Academy of Pediatrics </strong> </p>
<p>WCAAP represents over 1,200 pediatric health care professionals from across Washington state. Our mission is to optimize the health and well-being of children and their families while advancing pediatric care. WCAAP frames and leads the public discussion on child health issues,advances public policy to benefit children, and empowers pediatric clinicians to provide quality medical care. </p>
<p><strong>About the Infectious Diseases Society of Washington</strong> </p>
<p>IDSW is an organization of infectious disease and public health professionals representing physicians, nurse practitioners, physician assistants, and pharmacists dedicated to the practice of infectious disease prevention and therapies. Our mission is to further the studies ofinfectious diseases, to promote education of the public and members of the medical and allied health professions in Washington, and to be a representative to the community regarding these issues </p>
<p><strong>About the Washington Academy of Family Physicians</strong> </p>
<p>With 3,800 members, the WAFP is the largest medical specialty professional organization in Washington. Its members include physicians, residents, and medical students who specialize in family medicine. The organization works to influence the development of policy that will provide optimal health for all people of Washington state. </p>
<p><strong>About the Washington Chapter of the American College of Physicians </strong>
The Washington Chapter of the American College of Physicians is the 2,700-member state chapter of the American College of Physicians, a national organization of internists—physicians who specialize in the prevention, detection and treatment of illnesses in adults. ACP is the largest medical-specialty organization and second-largest physician group in the United States. Its membership of 155,000 includes internists, internal medicine subspecialists, medical students, residents, and fellows.
</p>
&nbsp;</div> | 1/8/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| a-tough-road-ahead-wsma-2026-budget-priorities | A Tough Road Ahead: WSMA 2026 Budget Priorities | Latest_News | Shared_Content/News/Latest_News/2026/a-tough-road-ahead-wsma-2026-budget-priorities | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img alt="" src="/images/Newsletters/Reports/2026/january-february/cover-wsma-janfeb-2026-final-645x425px.jpg" class="pull-right" /></div>
<h5>Jan. 5, 2026</h5>
<h2>A Tough Road Ahead: WSMA 2026 Budget Priorities</h2>
<p>
By Rita Colorito
</p>
<h5>
<em>Members only; sign-in required.</em>
</h5>
<p>
As the truncated 2026 legislative season gets underway this month, Washington state faces an ever-increasing and severe budget deficit, fueled by sluggish tax revenue and looming massive federal cuts to the state's Medicaid program, known as Apple Health. How the Washington State Legislature has responded, or plans to respond, creates serious repercussions for patients and physicians.
</p>
<p>
Despite the fiscal mountain ahead, the WSMA remains committed to advancing and addressing several key budget priorities for the 2026 legislative session:
</p>
<ul>
<li>Business and occupation tax mitigation.</li>
<li>Medicaid reimbursement rates.</li>
<li>H.R. 1 federal cuts and policies (the 2025 One Big Beautiful Bill Act).</li>
</ul>
<p>
"Access to care remains at the core of the WSMA's legislative agenda," says Bridget Bush, MD, FASA, WSMA president for 2025-2026.
</p>
<p>
"The overall fiscal priority for the WSMA is financial stability for physician practices," says Jennifer Hanscom, WSMA CEO.
</p>
<h3>Mitigate the B&amp;O tax increase</h3>
<p>
Tax increases are one of the ways the Legislature has tried to mitigate the state's projected budget deficit (at least $903 million through 2029). The billions in tax increases Gov. Bob Ferguson has already signed into law are the largest in state history, according to the National Federation of Independent Businesses.
</p>
<p>
For physicians, tax increases, so far, have come primarily in the form of additional B&amp;O tax rate hikes. In the last six years, most physician practices have seen their B&amp;O tax rates increase by 40%: In 2019, the Legislature imposed an approximately 20% increase via House Bill 2158; with HB 2081 in 2025, it imposed an additional 20% increase.
</p>
<p>
"Mitigating the B&amp;O tax increase is a huge priority," says Hanscom. "If we're not immediately able to get more revenue in the door, we have to lessen the revenue that's going out the door."
</p>
<p>
Physicians may feel the impact more acutely and sooner than other professions. What legislators often don't realize is that physicians do not set their own reimbursement rates. They're set by the state and federal government or subject to contracting with commercial insurance carriers.
</p>
<p>
"There's no way for a physician organization to offset the impact of a B&amp;O tax increase in the way that businesses in other industries do, which is by increasing their prices," says Sean Graham, WSMA senior director of government affairs and policy.
</p>
<p>
Meanwhile, other sectors charge physician practices more to offset their own costs. "Everything is increasing, as far as business expenses," says Anna McKeone, MD, who heads an emergency medicine practice in Olympia. "It's just very hard as an independent medical practice to stay in business."
</p>
<p>
The WSMA is hoping to get a health care carve-out from the B&amp;O tax increase to mitigate the impact on physicians. "We'll also look specifically at where other taxes will hurt physicians and advocate private carve-outs, or against them entirely, to protect physicians against further tax increases," says Dr. Bush.
</p>
<p>
"The B&amp;O tax particularly hits physicians hard, especially in light of decreasing reimbursements," says Dr. Bush. "We're getting pinched on both sides."
</p>
<h3>Increase Medicaid reimbursement rates</h3>
<p>
Over the last few years, the WSMA and physician community have prioritized increasing Medicaid reimbursement rates. During the 2025 legislative session, the WSMA scored a major victory through passage of the Medicaid Access Program, WSMA-priority legislation that reflected years of hard work by the association and its partners in the physician community.
</p>
<p>
The core of this bill included the enactment of a new "provider tax," a covered lives assessment, to increase reimbursement. Recent developments through federal H.R. 1 make it unlikely that the program will be implemented as authorized.
</p>
<p>
"H.R. 1 effectively blocks the implementation of the law by prohibiting the imposition of new provider taxes," says Jeb Shepard, WSMA's director of policy. It also ramps down existing provider taxes, of which there are several already in Washington state, from 6% to 3.5% of net revenue by 0.5% per year beginning in 2028, according to the Washington State Health Care Authority.
</p>
<p>
"Before any future cuts on these state- directed payments take effect, we need to find a solution to further our goal of making sure that Medicaid payments are at the same level as those in Medicare," says Hanscom.
</p>
<p>
Washington is already one of the lowest-reimbursed Medicaid states in the nation, with rates often well below the cost of providing care. H.R. 1 puts added financial pressure on physicians, says Hanscom. "Our priority this year is to try to find a way to work around the federal prohibition in order to secure dollars to help with Medicaid payments."
</p>
<p>
"Emergency medicine is likely to first feel the brunt of the perfect storm of tax increases and cuts to Medicaid reimbursement. It's the canary in the coal mine," says Graham. While most physician groups can contract with insurance plans with adequate reimbursement rates, under federal law, emergency departments must assess and stabilize anyone who walks in the door, regardless of their ability to pay.
</p>
<p>
Emergency physicians already have little margin to absorb financial shock. A recent Rand report found Medicare and Medicaid payments to emergency department physicians fell 3.8% from 2018 to 2022. Reductions for commercially insured patient visits were much steeper, dropping 10.9% for in-network and 48% for out-of-network visits.
</p>
<p>
"Our patients already suffer from lack of primary care and specialty availability," says Dr. McKeone, who also serves as the legislative advocacy lead for the Washington Chapter of the American College of Emergency Physicians. "If Medicaid was reasonably reimbursed and we could get these people access to primary care and specialty care through the appropriate channels, they would have less morbidity and less mortality. And it would actually end up costing the system quite a bit less."
</p>
<p>
The WSMA is considering multiple strategies to address Medicaid funding levels. One approach is to move away from state-directed payments and create a new source of funding that the federal government can't regulate. "As long as the state is able to generate state dollars dedicated to Medicaid reimbursement, we can get the two-for-one match at the federal level," says Hanscom.
</p>
<p>
The WSMA will also continue to pursue the Medicaid Access Program as passed. "We're not taking MAP totally off the table, in case Congress reverses their decision or the Centers for Medicare and Medicaid Services changes their rulemaking," says Hanscom. "Should there be an opening in the future to revisit that, we want the flexibility to bring it forward."
</p>
<p>
There's still a silver lining to all this. "Passage of the Medicaid Access Program reflected a shared commitment by physicians and legislators to increase Medicaid reimbursement," says Graham. "We need to maintain the momentum that we have on this issue."
</p>
<h3>Respond to H.R. 1's sweeping cuts and policies</h3>
<p>
H.R. 1, the budget reconciliation bill signed into law by President Donald Trump on July 4, spans numerous federal budget and policy considerations that impact health care. Of immediate fiscal and financial concern are draconian cuts and limitations to Medicaid, known as Apple Health in Washington state.
</p>
<p>
The Congressional Budget Office estimates that the reconciliation package would reduce federal Medicaid spending by $911 billion over a decade. Some states, such as North Carolina, have already cut physician reimbursement in response to federal cuts. But those states already reimbursed physicians at a higher rate, so they have more wiggle room to make cuts.
</p>
<p>
"We have a lot less space to work with," says Shepard. "Washington state has struggled with Medicaid rates that don't cover the cost of delivering care and H.R. 1 will make that gap even harder to close. All of this will put significant pressure on our state budget as the demand for care grows."
</p>
<p>
The state's 2025-27 operating budget directs the Health Care Authority to reduce managed care organization rates by 1% (approximately $90 million) in calendar year 2026, in accordance with federal rules. In October, the agency released guidance on how the cuts would be implemented, which target reimbursement for health care practitioners.
</p>
<p>
The Health Care Authority anticipates "significant administrative changes and new state costs associated with implementation" of Apple Health. It estimates 620,000 Washingtonians are at risk of losing or delaying coverage because of new work requirements and changes to Medicaid redeterminations (to now take place every six months instead of every 12). (Note: Undocumented immigrants in Washington have never been eligible for Medicaid.)
</p>
<p>
Some 217,000 Washingtonians also rely on the federal enhanced premium tax credits to afford health coverage through the insurance marketplace, according to the Washington Health Benefit Exchange. The credits are critical for older and rural residents, small business owners, and self- employed people. With subsidies set to expire at the end of 2025 (at press time no compromise had yet to be reached in Congress), the Health Benefit Exchange estimates 80,000 people will face such steep price increases they may drop coverage altogether.
</p>
<p>
"Cutting patients' access to primary care and specialty care is not the answer because it drives up the costs for everyone when they're utilizing the emergency department for those needs," says Dr. McKeone. "This is going to really cause catastrophe for patients."
</p>
<p>
All of these onerous fiscal policies are putting the viability of independent health practices at risk.
</p>
<p>
"The hourly rate that we can offer employees or partnership-track people is much lower than a lot of the rest of the nation. So, it's hard for us to stay competitive and recruit quality candidates," says Dr. McKeone. "We're also being very careful about hiring, because we don't want to get in a position where we can't pay someone that we hire. It's putting a huge strain on us."
</p>
<p>
Approximately 28% of Washington state's budget consists of federal investments, according to the governor's office. The governor's office predicts the state's 4.8% uninsured rate, once the lowest in the country, could double as a result of federal cuts.
</p>
<p>
As Washington state eyes spending cuts to address its budget shortfall, there's also real concern that health care could be on the chopping block. "What's tricky is that health care spending in Washington state is discretionary," says Shepard. "When policymakers in Washington need to make budget cuts, health care is one of those areas where they're permitted to do it."
</p>
<p>
Most of the federal cuts and provisions related to Medicaid aren't slated to take effect until after the midterm elections. Overall, the Health Care Authority projects a reduction in billions in federal funding from 2025-2034. "It's like a slow-moving train wreck that we're watching," says Shepard.
</p>
<h3>Playing offense and defense</h3>
<p>
As states brace for the impact, the WSMA is working with coalitions statewide to help all residents retain access to essential health care services and to support the health care system broadly against these draconian federal cuts, says Graham.
</p>
<p>
As always, the WSMA will engage with other stakeholders, including the Washington State Hospital Association, to advocate on behalf of patients and physicians. "We recognize the health of our hospitals is crucial for the health of our workforce and physicians in the state," says Dr. Bush.
</p>
<p>
The WSMA is also participating in the Health Defense Unity Table. This forum for information sharing and strategizing on advocacy across interest groups was first convened as H.R. 1 was being considered in Congress. It includes groups representing health care organizations, patients, and other entities that advocate for patients' access to care.
</p>
<p>
For now, the WSMA is doing what it can to secure any federal health care funding available. To that end, the WSMA has been working with the governor's office and the Health Care Authority on their application for the Rural Health Transformation Program-a last-minute addition by Republicans to garner support from GOP holdouts to pass H.R. 1. It sets aside $50 billion over the next five fiscal years to be distributed among eligible states to support patient access to care and rural health care systems across the country.
</p>
<p>
In early November, Washington state submitted its application for the fund, requesting the maximum state allotment of $200 million per year to support investments across the rural health care continuum. The WSMA engaged extensively in the development of the application, meeting with state policymakers, submitting feedback on where funding should be directed, and lending formal support to the state's application. The WSMA will have representation on the advisory committee that will help implement the program.
</p>
<p>
"It's not as rosy as it's being made out by proponents," says Shepard. "The money that the program gets that needs to be divided up among the states is a drop in the bucket compared to what's being cut. But right now, it's the only thing we can work on. And so we are."
</p>
<p>
At press time, H.R. 1 provisions had not yet been fully defined through federal rulemaking. "Our role is to make sure that Washington's physician community and patients are heard throughout the process," says Shepard. "We will do our best to make sure that implementation decisions don't further destabilize our fragile health care system."
</p>
<p>
The WSMA will stay engaged every step of the way with its federal and state partners. "It's not only playing defense but also engaging in creative thinking that we need to bring to these discussions in order for us to have success-meaning that patients have access to care in Washington state and physicians can afford to see them," says Hanscom.
</p>
<p>
<em>Rita Colorito is a freelance writer specializing in health care.</em>
</p>
<p>
<em>This article was featured in the January/February 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 1/5/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| degrees-of-transparency | Degrees of Transparency | Latest_News | Shared_Content/News/Latest_News/2026/degrees-of-transparency | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2026/january-february/cover-wsma-janfeb-2026-final-645x425px.jpg" class="pull-right" alt="WSMA Reports cover: January-February 2026" /></div>
<h5>Jan. 5, 2026</h5>
<h2>Degrees of Transparency</h2>
<p>
By John Gallagher
</p>
<h5>
<em>Members only; sign-in required.</em>
</h5>
<p>
When Bridget Bush, MD, an anesthesiologist at Optum Care Washington (formerly The Everett Clinic), meets with patients, they know at a glance that she has a medical degree. "Right now, my badge says my last name, and it does say 'MD' underneath in a not-similar font," says Dr. Bush, who is also president of the WSMA.
</p>
<p>
But for many patients meeting credentialed and noncredentialed health care professionals, that kind of transparency is lacking since not all facilities require badges that show degrees. As team care becomes increasingly the norm, patients are seeing an array of health care professionals for their treatment. Some of them are physicians, and some are not. But how is a patient to tell the difference? In fact, it's not always simple. Allied health professionals often provide care that was formerly primarily provided by physicians.
</p>
<p>
"Patients deserve to have an appropriate understanding of who is taking care of them," says Dr. Bush. "Surveys show people are confused about the credentials of the people providing their care."
</p>
<p>
Indeed, surveys by the American Medical Association conducted over the past 10 years underscore just how confused patients are. Among the findings in a 2024 survey:
</p>
<ul>
<li>24% of respondents misidentified nurse practitioners as medical doctors, while only 71% correctly indicated that they were not medical doctors.</li>
<li>48% of respondents misidentified those with a doctor of nursing practice as a medical doctor, while only 39% correctly indicated that they were not a medical doctor, and 13% said they did not know.</li>
<li>22% of respondents misidentified physician assistants as a medical doctor, while only 70% correctly indicated that they were not a medical doctor.</li>
</ul>
<p>
Despite this confusion, AMA surveys show patients consistently express that when their health or the health of their loved ones is at stake, they want transparency and physicians to be involved in their care.
</p>
<p>
Thanks to a grant from the AMA Scope of Practice Partnership, the WSMA is working on a creative solution to respond to patient concerns. For the state legislative session that kicked off this month, the WSMA has prepared a measure that would require health care professionals to disclose their health care credential or provider type on their name badge if they are providing care in a clinical setting. The measure would also require health care professionals to list their credentials and titles in advertising.
</p>
<p>
"Similar laws in other states have helped improve transparency and ensure that health care professionals clearly identify their qualifications, giving patients accurate information about who is providing their care and empowering them to make informed decisions," says AMA Board Chair David H. Aizuss, MD. "Addressing issues like this is central to the mission of the AMA's Scope of Practice Partnership, and this grant represents an important investment in advancing WSMA's advocacy."
</p>
<p>
"Title transparency means different things to different physicians," says Alex Wehinger, associate director of legislative advocacy for the WSMA. "We tried to find an avenue that is positive for transparency. The bill language does not take a prohibitive approach, but is focused more on disclosure of credentials, because there are more health care professions and license types in the health care system."
</p>
<p>
Wehinger notes that this is not a new issue. A transparency bill was unsuccessful in the Legislature in 2013. "This has been on the minds of our physician members for many years," she says.
</p>
<p>
Indeed, the AMA has been conducting a "truth in advertising" campaign for more than a dozen years. The campaign's goals are to ensure truth and transparency in health care, including requiring all health care professionals to clearly identify their education, training, and licensure to patients, among other provisions. To date, all or part of the model bill has been adopted by 25 states.
</p>
<p>
With the continued expansion of team-based care, the issue has become even more urgent. The current problem is the result of the changing nature of health care delivery. To address the problem of the shortage of physicians, nonphysician professionals began to take on nonspecialized treatment of patients. Their numbers have grown substantially over time.
</p>
<p>
"Twenty years ago, you knew when you were going to see your primary care professional that it was an MD," says Dr. Bush. "Now, my primary care provider is a nurse practitioner. That's the case for thousands of people."
</p>
<p>
In fact, the numbers confirm the dramatic change in the makeup of credentialed health care professionals. According to the National Center for Health Workforce Analysis, in 2022 there were 279,194 primary care physicians in the U.S. That same year, there were an estimated 270,660 nurse practitioners delivering primary care. Yet, in one AMA survey, which covered a period up until 2018, 88% of patients thought a primary care provider was an MD.
</p>
<p>
As important as the growth of health professionals to supplement the work of physicians has been, it has also created a problem around medical title transparency. In the rush of treatment, patients may not know the credentials of the people treating them and what those credentials allow.
</p>
<p>
Some specialties have been grappling with the issue for years. For example, while ophthalmologists have a medical degree and are either MDs or DOs, many people commonly refer to optometrists as "eye doctors." Rather than medical degrees, optometrists hold doctor of optometry degrees. The American Society of Anesthesiologists has objected to an effort by nurse anesthetists to use the title "nurse anesthesiologist," even though the word "anesthesiologist" refers to someone with a license to practice medicine.
</p>
<p>
WSMA's proposed legislation is intended to prevent patient confusion in a rapidly changing health care landscape. Wehinger stresses that the goal of legislation is not directed at any group of health care professionals. "This is a patient transparency focus," she says.
</p>
<p>
Indeed, says Dr. Bush, the main purpose of the legislation is to make it clear in the clinical setting what each health care professional's credentials are. "The number one piece of this legislation is badging in health care settings," she says. "Normally, that's taken on a case- by-case basis in each institution, but this would make it a more uniform standard so that patients could go into any health care setting and know who is taking care of them."
</p>
<p>
Dr. Bush emphasizes that the legislation wouldn't affect how health care professionals refer to themselves. "It's not about who can call themselves what," she says. "It's about transparency in licensing and training."
</p>
<p>
As with badges, the advertising component of the legislation will help patients understand who is providing care so that they can make informed decisions. "There are a lot of different clinics that are providing various types of health care, for depression, chronic pain, or lifestyle modifications," Dr. Bush points out. "It's important for transparency in that advertising so that patients know the education and licensing of those providing the service."
</p>
<p>
While transparency is the focus of the proposed legislation, Dr. Bush notes that safety is also an important consideration. "It is important on a safety level, especially for the less-regulated areas of health care," she points out. "Knowing levels of education and training can help patients ensure their own safety."
</p>
<p>
Ultimately, says Dr. Bush, the legislation should be an opportunity for professionals to show their patients the hard work and dedication that went into their training. "It should be a matter of pride for every level of care," she says. "Everyone has different licensure and training. We should celebrate those differences and what we bring together as a team to take care of patients."
</p>
<p>
<em>John Gallagher is a freelance writer specializing in health care.</em>
</p>
<p>
<em>This article was featured in the January/February 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 1/5/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| doctors-making-a-difference-jens-metzger-md | Doctors Making a Difference: Jens Metzger, MD | Latest_News | Shared_Content/News/Latest_News/2026/doctors-making-a-difference-jens-metzger-md | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img alt="WSMA Reports Doctors Making a Difference: Jens Metzger, MD graphic" src="/images/Newsletters/Reports/2026/january-february/dmd-website-image-metzger-645x425px.png" class="pull-right" /></div>
<h5>Jan. 5, 2026</h5>
<h2>Doctors Making a Difference: Jens Metzger, MD</h2>
<p>
For patients without access to preventive care or regular care for chronic diseases, that often means they turn to the emergency room-the most expensive option. Battle Ground Health Care, serving patients in Clark County, is aiming to provide a no-cost detour for medically underserved patients to manage chronic conditions and avoid ending up in the emergency room. Clinic medical director Jens Metzger, MD, talked with WSMA Reports about the community-supported organization's mission and what makes volunteer work enriching for him.
</p>
<p>
<strong><em>WSMA Reports: </em>Can you share with our readers a bit about what Battle Ground Health Care does and its mission?</strong>
</p>
<p>
<em>Dr. Metzger: </em>Since 2011, our emphasis at Battle Ground Health Care has been to be a medical home for chronic disease management in the underserved Clark County community. Our team provides dental, medical, dietary, and rehabilitation therapies along with insurance and resource navigation and pastoral care services.
</p>
<p>
<strong>How did you get involved with the clinic and what does your role as medical director entail?</strong>
</p>
<p>
I answered an ad in the newspaper to get involved in expanding medical care to all members of our local community. My role is to help with oversight of our multiple medical services while supervising medical care by our internal medicine residents and medical students.
</p>
<p>
<strong>Is the care team made up of all volunteers? Where else does the clinic get support from?</strong>
</p>
<p>
Our team of 200 volunteers provided an equivalent of $1 million dollars of resources to our clients in 2024 supported through a combination of grants, private donors, and volunteer medical clinicians. We are so grateful to our nucleus of paid office staff that are like family for the patients. The support from our community health care systems Vancouver Clinic, Peace Health, and Legacy Health in providing lab, imaging, and preventative care services is invaluable to keep services available and affordable.
</p>
<p>
<strong>Why do you think this type of community-supported care is so important?</strong>
</p>
<p>
There is a lot of real, daily fear in our underserved community. This fear can marginalize individuals from keeping up with their own health care. These resources provide vital support, making it possible for community members to prioritize their emotional and physical health.
</p>
<p>
<strong>Are there certain areas of preventive care that you think are most impactful for keeping patients from having to go to the emergency room for care?</strong>
</p>
<p>
It is a paradoxical health care system that readily provides expensive emergent and inpatient services to patients acutely yet has them face the challenge of inadequate primary care resources for affordable medications and lifestyle management to educate and enrich their health care journey.
</p>
<p>
<strong>Is there an aspect of providing volunteer care that is most fulfilling for you?</strong>
</p>
<p>
It is a greater gift to receive than give working with people who by comparison have so little yet are so appreciative of the time and attention spent addressing their needs. It is so enlightening that a small act of compassion can create a sense of belonging and importance for someone who really needs it.
</p>
<p>
<em>This article was featured in the January/February 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 1/5/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| ending-the-silence-on-firearm-safety | Ending the Silence on Firearm Safety | Latest_News | Shared_Content/News/Latest_News/2026/ending-the-silence-on-firearm-safety | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2026/january-february/heartbeat-website-image-engel-645x425px.png" class="pull-right" alt="WSMA Reports Heartbeat logo featuring Gregory Engel MD, MPH" /></div>
<h5>Jan. 5, 2026</h5>
<h2>Ending the Silence on Firearm Safety</h2>
<p>
By Gregory Engel, MD, MPH
</p>
<p>
By the time the average American student turns 18, they have seen roughly 200,000 violent acts on television alone, not counting movies, social media, or video games. Many of these scenes glorify firearms, portraying them as symbols of power, masculinity, and personal safety in a dangerous world. The message is clear: Owning or carrying a gun makes you safer.
</p>
<p>
The data tell a very different story. Firearms in the home are associated with dramatically higher rates of suicide and homicide and carrying a gun is linked to an increased risk of death, not protection. Yet, despite this reality, our schools rarely address firearm injury or prevention. Students are surrounded by powerful myths about guns, but almost never hear the facts. It is time to end the silence.
</p>
<p>
For years, I worried that discussing firearms in schools would be seen as controversial or political. I was wrong. Over the past decade, I have taught more than 12,000 students about firearm injury prevention. In all that time, I have received zero complaints from parents, teachers, or administrators. Quite the opposite, students and families welcome the conversation. They understand that this is about health and safety, not politics.
</p>
<p>
As a physician and epidemiologist, I have cared for gunshot victims in the emergency room, supported grieving families in clinic, and studied the data behind firearm injury. In Washington state, firearm deaths have doubled over the past decade, even as the Legislature has passed more than a dozen gun laws. Clearly, legislation alone is not enough. Firearm ownership, concealed carry, and firearm deaths have all increased, underscoring the urgent need for education alongside policy.
</p>
<p>
Our team brings public health-informed, nonpartisan education to high school classrooms, giving students practical tools to stay safe. We share evidence showing that most firearm deaths are suicides, not mass shootings; that guns kept in the home are far more likely to be used in a suicide or domestic homicide than in self-defense; and that millions of children live in homes with unsecured firearms. We also teach students to recognize warning signs of suicide, practice safe storage, and access resources such as Washington's Extreme Risk Protection Order.
</p>
<p>
The second decade of life is when students are forming their attitudes toward firearms and firearm violence. The information they receive now, whether from social media, entertainment, or the classroom, shapes how they will approach these issues as adults. We see this education as a first step toward building communities of informed citizens who place safety, not politics or rhetoric, at the center of the conversation.
</p>
<p>
This work is expanding. In partnership with the Office of Superintendent of Public Instruction and the Edmonds School District, we developed a two- day curriculum building on our one-day program. It is now being delivered district-wide this fall. The curriculum is evidence-based, pedagogically sound, and engaging for students.
</p>
<p>
Physicians can help. You can volunteer to teach in classrooms, advocate for firearm injury prevention education in your local schools and districts, raise the issue with community leaders, or bring it into the media and public forums where firearm injury is discussed. We need your energy, your expertise, and your creativity to expand this effort. To learn how you can contribute, contact me at <a href="mailto:ga_engel@yahoo.com">ga_engel@yahoo.com</a>.
</p>
<p>
When we equip young people with facts and practical skills, we empower them to make safer choices for themselves and for others. Students deserve to know. It is time to end the silence.
</p>
<p>
<em>Gregory Engel, MD, MPH, is a physician and epidemiologist based on the Key Peninsula. He is vice president for education with Ceasefire Northwest, a nonprofit organization that partners with schools across Washington to provide evidence-based education on firearm injury prevention.</em>
</p>
<p>
<em>This article was featured in the January/February 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 1/5/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| meet-physicians-insurances-first-physician-president-ceo | Meet Physicians Insurance's First Physician President/CEO | Latest_News | Shared_Content/News/Latest_News/2026/meet-physicians-insurances-first-physician-president-ceo | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2026/january-february/cover-wsma-janfeb-2026-final-645x425px.jpg" class="pull-right" alt="WSMA Reports cover: January-February 2026" /></div>
<h5>Jan. 5, 2026</h5>
<h2>Meet Physicians Insurance's First Physician President/CEO</h2>
<p>
From Physicians Insurance
</p>
<p>
On Nov. 1, Physicians Insurance A Mutual Company welcomed David Carlson, DO, as president and chief executive officer, as Bill Cotter stepped down to begin his retirement. Dr. Carlson has served on PI's board of directors since 2018 and as chair from 2019 to 2023. As the first physician to sit at the head of PI's executive table, he comes to his new role with a unique dual perspective, informed by decades of clinical and business experience.
</p>
<p>
A board-certified family practice physician, Dr. Carlson has held several senior executive roles at major health systems, including MultiCare Health System in Washington, Hospital Sisters Health System in Illinois, and Conemaugh Health System in Pennsylvania, roles in which he also oversaw those health systems' captive insurer organizations. He was most recently vice president of medical operations-King County at Virginia Mason Franciscan Health.
</p>
<p>
Here, Dr. Carlson introduces himself to WSMA members and sheds light upon the perspectives he will bring to his new role with Physicians Insurance.
</p>
<p>
<strong><em>WSMA Reports:</em> You will be the first physician CEO of Physicians Insurance, a company that was formed by physicians for physicians. What's one takeaway from your experience as a practicing physician that you think will inform your leadership?</strong>
</p>
<p>
<em>Dr. Carlson:</em> Having cared for patients, I'm accustomed to absorbing as much information as possible in short amounts of time to quickly make important decisions. At the same time, I am comfortable making decisions when we don't have all the answers at once, because we rarely do. Early in my career, a mentor said, "If you don't have the answer yet, listen harder." So, I listen a lot and I focus on continually taking in new information. Given the quickly shifting dynamics we face in medicine, I think this is important.
</p>
<p>
In addition, while in leadership and overseeing captive organizations, I gained experience in efforts to improve the day-to-day landscape of care delivery and in prioritizing patient safety to improve outcomes. There are a lot of moving parts to care delivery today, but with the right support in place, both internally and externally, I'm optimistic about the quality and safety of care. I'm excited to bring my experience as a health care insider to a medical professional liability insurer that cares so much about supporting its members' needs during both the good days and the bad days.
</p>
<p>
<strong>Are there any unique trends impacting the medical professional liability insurance industry today that Washington physicians should be aware of?</strong>
</p>
<p>
Probably the most powerful trend is the pending updates to damages caps. Related to this is the dramatic impact of social inflation, which has jurors deciding on incredibly high damage awards, in turn raising expenses across the board for health care. It's not financially sustainable or good for patient care in the long run. It's imperative for PI to continue participating in the dialogue of damage caps, seeking solutions that contribute to a stable marketplace and that support overall care quality in cities and rural areas. The ~$250,000 caps from decades ago are certainly due for an update, and PI advocates for reasonable caps.
</p>
<p>
Early settlement demands from plaintiff attorneys are another rising trend. This is where a claimant receives an early, aggressive letter from a plaintiff attorney intended to create fear and division regarding the defense approach while demanding an outsized settlement before the medical facts have even been reviewed. In such instances, PI recommends that a defendant works closely with their claims team to navigate the demand with an appropriate legal response that is in their best interest.
</p>
<p>
<strong>With medical professional liability rates going up, many of our members are advocating for tort reform. For years, that goal has remained elusive due to the political makeup of Washington state. What type of reforms do you see on the horizon to improve the cost of coverage?</strong>
</p>
<p>
PI participates in advocacy work across the legislative, judicial, and regulatory environments to protect physicians, hospitals, and their patients. By advocating for reasonableness in all aspects of reforms, whether that's updating damage caps or statutes of limitations, for instance, we work to create a sustainable health care landscape that is affordable for patients and where quality care persists in cities and rural areas alike. Our best chance at success in our desired reforms, especially in political environments like Washington's, is to maintain a broad- based approach that benefits all parties through the support of an accessible and quality health care system. We will continue with advocacy strategies that benefit the whole of health care so that liability expenses, and corresponding medical professional liability rates, can remain reasonable.
</p>
<p>
<strong>Coming out of a health system, you know how overwhelmed many physicians are feeling. How can Physicians Insurance help today's practicing physicians and their insureds?</strong>
</p>
<p>
Physicians Insurance has kept the physician's perspective at the center of its work since its formation almost 45 years ago. A lot has changed in health care over those decades, but attentive support and a commitment to excellence in claims management are still among the best ways we can help physicians. The organization is continually looking out for rising trends and meeting the needs those trends create. PI exists to create peace of mind for physicians by being the experts they need in their corner, with unwavering financial resources, guidance, and claims expertise.
</p>
<p>
<strong>Looking forward, what does the future hold for Physicians Insurance?</strong>
</p>
<p>
PI will continue doing what it does very well in protecting its members, first and foremost. We will continue to look at our growth and healthy diversification options that support our ongoing strength and relevance. We are here to be the best medical professional liability insurer in Washington, in our region, and in the country. How we grow and support our members is critical.
</p>
<p>
I'm an optimist-the glass is nearly always full. We have rough waters to sail with all the challenging trends in the medical community, but the good news is that PI has the strategies to deal with the threats we're facing, including the purpose-driven mentality to keep our members at the center of our work. That is our job every day.
</p>
<p>
<em>This article was featured in the January/February 2026 issue of WSMA Reports, WSMA's print magazine.
</em></p>
</div> | 1/5/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| member-spotlight-john-scott-md-msc-fidsa | Member Spotlight: John Scott, MD, MSc, FIDSA | Latest_News | Shared_Content/News/Latest_News/2026/member-spotlight-john-scott-md-msc-fidsa | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2026/january-february/member-spotlight-website-image-scott-645x425px.png" class="pull-right" alt="WSMA Reports Member Spotlight: John Scott, MD, MsC, FIDSA" /></div>
<h5>Jan. 5, 2026</h5>
<h2>Member Spotlight: John Scott, MD, MSc, FIDSA</h2>
<p>
<strong>Works at:</strong> Harborview Medical Center, UW Medicine.
</p>
<p>
<strong>How long in practice:</strong> 27 years.
</p>
<p>
<strong>Specialty:</strong> Infectious diseases.
</p>
<p>
<strong>Why WSMA:</strong> WSMA’s motto resonates with me: physician driven, patient focused. I first became acquainted with the WSMA through their advocacy on behalf of telemedicine legislation and saw how smart and respected they were. The WSMA staff is top notch! I’ve enjoyed their leadership courses, annual leadership conference, and efforts to promote physician wellness. The WSMA has my back and is doing what’s best for patients.
</p>
<p>
<strong>Proud moment in medicine:</strong> I started a program called Project ECHO in 2008. This telementoring program is going strong 17 years later, reaching all parts of the state and active in more than 20 different clinical areas. I was honored to receive the Warren Reed Award from the Washington State Department of Health in 2015 for this program.
</p>
<p>
<strong>Top concerns in medicine:</strong> I am concerned by the impact of Medicaid cuts and what that’s going to mean for my patients. Also, as an infectious disease physician, I am concerned by the denial of strong science behind vaccines.
</p>
<p>
<strong>Challenges ahead:</strong> AI is going to lead to some major changes in health care. As physicians, we need to be engaged in those changes, making sure that our patients are at the center of our care: protecting privacy, being transparent about AI uses, and moving toward more relational and collaborative care with our patients.
</p>
<p>
<strong>Why I wanted to be a physician:</strong> I had a wonderful pediatrician named Dr. James I. Ball (I used to ask if we were going to see Dr. Eyeball!). He was a real Marcus Welby, MD, type of doctor. I remember him being such a kind and smart physician; I wanted to be like him.
</p>
<p>
<strong>Why my specialty:</strong> I grew up in the San Francisco Bay Area in the 1980s, when HIV/AIDS was ravaging young men in the area. That devastation had a profound effect on me, leading me into research on HIV after college. I was drawn to the field of virology because of the advances in science and how you can help not just an individual but a whole population. I was fortunate to work in the NIH Laboratory of Cellular Oncology during medical school. My mentors performed the basic science that led to the development of the HPV vaccine; they were later given the Lasker Prize for Medicine. Their discovery has saved thousands of women’s lives. I also like the detective work involved in the specialty.
</p>
<p>
<strong>Leadership lessons:</strong> 1) Go to the balcony for perspective; 2) “Service leadership†– always be the first to do the grunt work and support your team; 3) Give the work away (How’s that, Ed?).
</p>
<p>
<strong>Spare time:</strong> I love to swim! My wife and I swim with the Mercer Island Redwoods masters swim team early in the morning. One of my favorite things in the summer is swimming in Lake Washington. I grew up as a competitive swimmer and have gotten back into it in the last few years. I swam at the U.S. Masters Nationals last August and placed in the top 10 in four events! I volunteer on the AV team at my church and I like to cook with my wife and listen to music.
</p>
<p>
<strong>People might not know:</strong> I was born in Kansas and own a farm there. I once had Thanksgiving dinner with Julia Child.
</p>
<p>
<strong>Pet peeves:</strong> Not saying please and thank you, honking unnecessarily while driving, lack of accountability.
</p>
<p>
<em>This article was featured in the January/February 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 1/5/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| cms_announces_rural_health_transformation_program_awards | CMS Announces Rural Health Transformation Program Awards | Latest_News | Shared_Content/News/Latest_News/2025/cms_announces_rural_health_transformation_program_awards | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2025/december/black-male-doctor-with-young-woman-645-425.jpg" class="pull-right" alt="2025 Session" /></div>
<h5>December 30, 2025</h5>
<!-- **************************NEW ARTICLE****************************** -->
<h2>CMS Announces Rural Health Transformation Program Awards</h2>
<p>Earlier this week, the Centers for Medicare and Medicaid Services <a href="https://www.cms.gov/newsroom/press-releases/cms-announces-50-billion-awards-strengthen-rural-health-all-50-states">announced</a> that all 50 states will receive awards under the new <a href="https://www.cms.gov/priorities/rural-health-transformation-rht-program/overview">Rural Health Transformation Program</a>. For 2026, Washington state is slated to receive $181,257,515, representing a one-year investment as part of this five-year federal initiative to strengthen rural health care systems.</p>
<p>The WSMA engaged extensively on behalf of the physician community in the development of Washington state's <a href="https://www.hca.wa.gov/assets/program/rhtp-project-narrative.pdf">application</a>, including meeting with state policymakers, submitting feedback on funding priorities, and lending formal support to the state's proposal. An abstract of Washington’s application <a href="https://edit.cms.gov/files/document/rht-program-state-provided-abstracts.pdf">released by CMS</a> outlines the state's project goals, and we are pleased to see key elements the WSMA advocated for reflected in the plan, including investments in health care workforce, technology, and system capacity.</p>
<p>We are grateful to state agencies and the governor’s office for their collaboration and for the timely submission of a strong application to CMS. The WSMA will continue to engage with state partners and CMS to ensure physician perspectives remain central as these funds are deployed—and to advocate for investments that strengthen patient care, practice viability, and the long-term sustainability of rural health in Washington.</p>
<p>We will keep members informed as implementation details and stakeholder engagement opportunities become available.</p>
<h3>Update (Dec. 31)</h3>
<p>Just before press time, the governor's office released a <a href="https://content.govdelivery.com/accounts/WAGOV/bulletins/4024cfa">press release</a> with additional information on how the funds will be distributed:</p>
<p>"
Washington specifically sought funding to help build a healthier, more resilient and financially sustainable rural health system. The Rural Health Transformation funding will help rural residents across all 39 counties. Of those, 22 counties are considered fully rural — Adams, Clallam, Columbia, Ferry, Garfield, Grant, Grays Harbor, Island, Jefferson, Kittitas, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pacific, Pend Orielle, San Juan, Skamania, Stevens, Wahkiakum and Whitman. The funding will reach rural Washington residents in these counties, as well as the rural portions of the state’s remaining counties.</p>
<p>"Washington will use the funds to:</p>
<ul>
<li>Develop community-based health care options to help rural residents access the right level of care at the right time</li>
<li>Invest in the health of Native families</li>
<li>Invest in technology that increases efficiency, access and quality in Washington’s rural health care system, helping rural Washingtonians get specialty care and monitor chronic conditions</li>
<li>Invest in long-term solutions will give rural Washingtonians better access to high-quality specialty and emergency medical care</li>
<li>Grow, train and maintain the health care workforce in rural Washington</li>
<li>Expand and sustain Washington’s rural behavioral health system, decreasing the strain on rural hospitals and school-based behavioral health care services</li>
</ul>
<p>"The state will collaborate with Area Agencies on Aging, the Washington Hospital Association, the Rural Collaborative and others to target funding where it is needed most. It will also work with the state’s universities to expand existing programs and initiatives that benefit rural health care systems.</p>
<p>"For example, funds will be used to expand the University of Washington School of Medicine’s Project ECHO (Extension for Community Health Outcomes). ECHO offers a multidisciplinary tele-monitoring and education platform for Washington clinicians that helps providers deal with complex and specialized patient issues, infectious diseases, psychiatry and behavioral health and intellectual and developmental disabilities. Rural Heath Transformation program funds will help expand ECHO to additional health care facilities, as well as add new medical specialties."</p>
<p>Read the governor's <a href="https://content.govdelivery.com/accounts/WAGOV/bulletins/4024cfa">press release</a>.</p>
</div> | 12/31/2025 2:50:19 PM | 1/1/0001 12:00:00 AM |