| ceo-rounds-may-22-2026-member-feedback-and-engagement-drive-our-work-here-are-two-opportunities | CEO Rounds: May 22, 2026 - Member Feedback and Engagement Drive Our Work. Here Are Two Opportunities | Latest_News | Shared_Content/News/ceo-rounds/2026/ceo-rounds-may-22-2026-member-feedback-and-engagement-drive-our-work-here-are-two-opportunities | <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>
Apr. 24, 2026
</h5>
<h2>
Member Feedback and Engagement Drive Our Work. Here Are Two Opportunities.
</h2>
<p>
Jennifer Hanscom, WSMA CEO
</p>
<p>
This past weekend in Chelan, WSMA members gathered for our annual Leadership Development Conference. While attendance was smaller than in years past, the energy and engagement in the room were strong, with a shared focus on advocating for our patients and our profession.
</p>
<p>
As always, some of the most meaningful moments happened between the learning sessions in casual hallway conversations. Members bonded over questions of how we can continue to connect and collaborate better, and how to effectively speak up on the issues that matter most to medicine and the patients we serve.
</p>
<p>
As a physician-led, patient-focused organization, the WSMA wants to hear directly from you. Member feedback helps shape our advocacy priorities, member programs, and the support we provide to physicians of all specialties and practice types across Washington.
</p>
<p>
Please take a few minutes to complete the WSMA member survey <strong><a href="https://www.surveymonkey.com/r/FC2ZWDP">by clicking here</a></strong>. Your input will help us better serve you, your profession, and your patients.
</p>
<p>
A few things to know:
</p>
<ul>
<li>All questions are optional, and every response is valuable.</li>
<li>Your feedback will help guide WSMA's future direction and ensure we continue providing meaningful support to members.</li>
<li>Thank you in advance for sharing your perspective.</li>
</ul>
<h3>
Looking Ahead: WSMA Annual Meeting of the House of Delegates
</h3>
<p>
With the Leadership Development Conference behind us, WSMA now turns its attention to our annual policy-setting meeting: the <strong><a href="https://www.wsma.org/wsma/events/annual_meeting/wsma/events/annual_meeting/annual_meeting.aspx">Annual Meeting of the WSMA House of Delegates</a></strong>, taking place Sept. 26-27 at the Historic Davenport in Spokane.
</p>
<p>
At the center of the House of Delegates process are resolutions, proposals that guide WSMA policy. Much like bills introduced in the Legislature, resolutions identify actions the WSMA should take or policies the association should adopt.
</p>
<p>
Only delegates to the House or a member of the WSMA board of trustees may submit resolutions, but we can help any WSMA member connect to a delegate or board member to advance their resolution idea.
</p>
<h3>
New for 2026: Online Resolution Submission
</h3>
<p>
Delegates are now required to submit resolutions through a new online submission form designed to modernize and streamline the process.
</p>
<ul>
<li>Use the <strong><a href="https://wsma.informz.net/z/cjUucD9taT0xMjM2MzM4NCZwPTEmdT0xMTY4NjUwMjEzJmxpPTEyMjA3MDIxMQ/index.html">WSMA Resolution Submittal Form</a></strong> to submit a resolution for the 2026 House of Delegates meeting.</li>
<li>Learn more about how to write, format, and find sponsors for your resolution <strong><a href="https://www.wsma.org/wsma/events/annual_meeting/how_to_write_a_resolution/wsma/events/annual_meeting/How_to_Write_a_Resolution/how_to_write_a_resolution.aspx">here</a></strong>.</li>
<li>The deadline for submitting resolutions is <strong>Aug. 27</strong>.</li>
</ul>
<h3>
How Resolutions Are Debated, Refined, and Acted on
</h3>
<p>
Here's a quick overview of how resolutions are reviewed and debated:
</p>
<ul>
<li>Resolutions submitted to the House of Delegates are first reviewed by reference committees. Similar to legislative committees, reference committees allow for guided discussion and refinement of resolutions. The House of Delegates features two reference committees, Reference Committee B and Reference Committee C. The work of each committee is guided by a three-member team of volunteer WSMA members familiar with the House of Delegates.</li>
<li>The reference committees will now use testimony submitted through the <strong><a href="https://www.wsma.org/wsma/events/annual_meeting/virtual-reference-committees/wsma/events/annual_meeting/virtual-reference-committees.aspx">virtual reference committees</a></strong> in the run-up to the WSMA Annual Meeting to draft preliminary reports prior to the meeting. All WSMA members are encouraged to visit the virtual reference committees to review resolutions and provide testimony in the months prior to the meeting.</li>
<li>These preliminary reports will be presented during the live, in-person reference committee sessions on Sept. 26 at the meeting.</li>
<li>Delegates will still be able to pull items from the consent calendar for discussion, debate, and amendment during the in-person reference committee sessions.</li>
<li>Revised reference committee reports will then be considered by the full House on Sunday, Sept. 27, with the same opportunities for discussion and deliberation.</li>
</ul>
<h3>
Why These Changes?
</h3>
<p>
These updates are designed to:
</p>
<ul>
<li>Increase accessibility for members who cannot attend in person due to work, family, or other obligations.</li>
<li>Streamline the House's work by providing committee reports in advance.</li>
<li>Give delegates more time to review and consider policy proposals.</li>
<li>Allow additional time for county societies, specialty societies, and special sections to caucus on preliminary reports.</li>
</ul>
<h3>
Interested in Serving as a Delegate?
</h3>
<p>
If you are interested in serving as a delegate to the WSMA Annual Meeting, please contact your local county medical society or state specialty society. Delegate seats are apportioned among county societies, specialty societies, and the WSMA board of trustees.
</p>
<p>
You can also learn more about delegate responsibilities and apportionment through the <strong><a href="https://www.wsma.org/wsma/about_us/who_we_are/house-of-delegates/wsma/about/who_we_are/house-of-delegates.aspx">House of Delegates information page</a></strong>.
</p>
<p>
Whether you are a regular or a first timer, I hope to see you this September at the Historic Davenport in downtown Spokane. Thank you for your continued commitment to patient care and to the WSMA. Your engagement, ideas, and participation help shape the future of our profession and strengthen the support we provide to physicians and the patients they serve.
</p>
</div> | 5/22/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| next-steps-on-state-income-tax-on-millionaires | Next Steps on State Income Tax on Millionaires | Latest_News | Shared_Content/News/advocacy-report/2026/May 15/next-steps-on-state-income-tax-on-millionaires | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2026/may/Capitol-bldg-Olympia-645x425x.jpg" class="pull-right" alt="Image of WA Capitol building" /></div>
<h5>May 15, 2026</h5>
<h2>Next Steps on State Income Tax on Millionaires</h2>
<p>
A proposal to establish a state income tax on millionaires was the most contentious and consequential bill considered during the 2026 session. The <a href="https://app.leg.wa.gov/billsummary/?BillNumber=6346&amp;Year=2025&amp;Initiative=false">bill</a> has been signed into law, but several hurdles remain before it can be implemented.
</p>
<p>
Last month a lawsuit led by former state Attorney General Rob McKenna was <a href="https://www.kiro7.com/news/local/former-ag-rob-mckenna-files-lawsuit-overturn-was-new-income-tax/BOR4XN7TTVBN3BCESBWNQKWD6E/?tbref=hp">filed</a>, challenging the legality of the new tax. The lawsuit focuses on a provision of the state constitution that requires property to be taxed at a uniform rate, arguing that income is property and the tax is not applied uniformly. The case is ultimately expected to be taken up and decided by the state Supreme Court.
</p>
<p>
Meanwhile, opponents of the law are also mounting an effort to allow the state's voters to weigh in on the tax. Earlier this week, the conservative political committee Let's Go Washington, which is the point group for several recent and pending ballot measures, filed an <a href="https://voter.votewa.gov/Petitions/GetPetitionFile.aspx?f=1117&amp;t=FB3188B2-C3F2-4F03-BCFF-023EEE285127">initiative</a> with the Secretary of State's office. If sufficient signatures are collected in support of the initiative, it will appear on the November ballot.
</p>
<p>
Assuming the tax withstands legal and political challenges, the governor's budget office has <a href="https://content.govdelivery.com/accounts/WAGOV/bulletins/414ef34?emci=e453f949-fa43-f111-8ef2-000d3a14b640&amp;emdi=ee7e32f9-5846-f111-8ef2-000d3a14b640&amp;ceid=75533">released</a> updated projections of how much revenue it will bring into the state. Last week the Office of Financial Management released data showing that the net effect of the income tax will be around $2.5 billion annually once sales tax reductions that are part of the law are taken into account.
</p>
<p>
That would be a considerable influx of revenue, amounting to around 6% of the state's annual operating budget. But it's important to note that the "maintenance level" of the state's budget, accounting for expected growth in existing programs, is anticipated to grow at a similar rate. This means there would be limited opportunity for new spending and programs tied to the implementation of a state income tax, in the absence of other changes to spending and revenue.
</p>
</div> | 5/15/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| food-security-takes-center-stage-new-wsma-partnership-webinars-resources-more | Food Security Takes Center Stage: New WSMA Partnership, Webinars, Resources, More | Latest_News | Shared_Content/News/Membership_Memo/2026/May 8/food-security-takes-center-stage-new-wsma-partnership-webinars-resources-more | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2026/may/Hands-holding-tomatoes-645x425px.jpg" class="pull-right" alt="Image of two pairs of hands holding bowl of tomatoes" /></div>
<h5>May 8, 2026</h5>
<h2>Food Security Takes Center Stage: New WSMA Partnership, Webinars, Resources, More</h2>
<p>
Through a new grant-driven initiative, the WSMA Foundation is offering resources related to screening for nutrition-related social drivers of health for primary care offices and hosting a webinar series focusing on different aspects of nutrition access and social need.</p>
<p>
<strong>Take our 1-minute needs assessment survey</strong>
<br />
Spare just a moment to take a brief survey on current practices and needs related to screening and addressing social determinants of health, with a focus on food access, to help inform our work. <a href="https://forms.office.com/pages/responsepage.aspx?id=CgN5_wMfNU66xEvN3PBcAIykZJcvBX5FvDCpb_M6NjJUQUNCOTVZMVRQU1E4OVZYQUxSVU4zQzMwNC4u&amp;route=shorturl">Take the survey</a>.
</p>
<p>
<strong>Incorporating food security screening into your practice workflow</strong>
<br />
The WSMA has partnered with <a href="https://helpmegrowwa.org">Help Me Grow WA</a> to support primary care practices with food security screening. <a href="https://helpmegrowwa.org">Help Me Grow WA</a> provides no-cost resource navigation to all families and caregivers in Washington state. Help Me Grow can support adopting workflows within organizations to screen for and connect families to state and local food resources. Help Me Grow can also explore a comprehensive approach to addressing social needs, including food, health care, child development, and family stability.
</p>
<p>
Anyone interested in incorporating <a href="https://helpmegrowwa.org">Help Me Grow WA</a> resources into their workflow can email WSMA Associate Director of Quality and Leadership Programs Monica Salgaonkar at <a href="mailto:monica@wsma.org">monica@wsma.org</a>.
</p>
<p>
<strong>New webinar series: Beyond the Exam Room: Physician-Led Approaches to Food Access and Social Needs</strong>
<br />
The WSMA Foundation is pleased to announce a new monthly webinar series dedicated to practical conversations and tools on food security screening and other social determinants of health. The webinars will take place on the second Monday of every month from noon-1 p.m. starting in June and running through October 2026. Details and registration will be available soon. For now, save the dates!
</p>
</div> | 5/8/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| measles-webinars-two-sessions-on-spread-and-immunization-transmission-and-prevention | Measles Webinars: Two Sessions on Spread and Immunization, Transmission and Prevention | Latest_News | Shared_Content/News/Membership_Memo/2026/May 8/measles-webinars-two-sessions-on-spread-and-immunization-transmission-and-prevention | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2026/may/Measles-particle-cdc-bkc-m0iZ4Sk-unsplash-for-web.jpg" class="pull-right" alt="Image of digital model of measles particle" /></div>
<h5>May 8, 2026</h5>
<h2>Measles Webinars: Two Sessions on Spread and Immunization, Transmission and Prevention</h2>
<p>
To help address the emerging public health crisis in Washington state, the WSMA is collaborating with the Washington State Department of Health to bring WSMA members the latest in immunology and epidemiology with the current measles outbreak. Registration is now available for two sessions:
</p>
<p>
<strong>Measles Spread and Immunization</strong>
<br />
Friday, June 26, noon-1 p.m.
</p>
<p>
Washington State Health Officer Tao Kwan-Gett, MD, will discuss why greater measles vaccine coverage in adults is urgently needed in Washington state, and strategies that health professionals and organizations can implement to increase uptake of MMR and other immunizations. <a href="https://us06web.zoom.us/meeting/register/G3U9pyK6SBmVuMCqPp7GIQ#/registration">Register online</a>.
</p>
<p>
<strong>Measles Transmission and Prevention</strong>
<br />
Friday, Aug. 7, noon-1 p.m.
</p>
<p>
Public Health-Seattle and King County's Eric Chow, MD, will describe current epidemiology of measles in the United States and implications for Washington State, including transmission dynamics, clinical presentations, and considerations for patient management. <a href="https://us06web.zoom.us/meeting/register/nYxlIIl9QqG6xqeAOHLrlw#/registration">Register online</a>.
</p>
<p>
These activities have been approved for <em>AMA PRA Category 1 Credit</em><sup>TM</sup>.
</p>
</div> | 5/8/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| prepare-now-for-changes-coming-to-apple-health-medicaid | Prepare Now for Changes Coming to Apple Health (Medicaid) | Latest_News | Shared_Content/News/Membership_Memo/2026/May 8/prepare-now-for-changes-coming-to-apple-health-medicaid | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2026/may/iStock-1442379947-for-web-645x425px.jpg" class="pull-right" alt="Image of mother and child patient revewing ipad with physician" /></div>
<h5>May 8, 2026</h5>
<h2>Prepare Now for Changes Coming to Apple Health (Medicaid)</h2>
<p>
Since the passage of H.R. 1, federal legislation making sweeping changes to the Medicaid program, the WSMA has been meeting with state health care leaders to strategize on how to mitigate the challenges ahead for the physician community. Recently, the Washington State Health Care Authority announced a series of information sessions on the changes coming to the state's Medicaid program, Apple Health, as well as new resources to help patients and health care professionals prepare. These webinars and resources offer abundant opportunities for WSMA members to plug in to and help support the work underway.
</p>
<p>
<strong>Information for health professionals</strong>
<br />
For a quick review of the timeline, the Health Care Authority offers <a href="https://www.hca.wa.gov/about-hca/programs-and-initiatives/apple-health-medicaid/hr-1-impacts">a webpage with information on H.R. 1 implementation for health professionals</a>, policymakers, and other stakeholders.
</p>
<p>
<strong>Information for patients</strong>
<br />
Apple Health clients may review the <a href="https://www.hca.wa.gov/node/36405">changes coming to Apple Health</a> webpage to learn how H.R. 1 may impact their coverage.
</p>
<p>
<strong>H.R. 1 impacts series for professionals</strong>
<br />
To learn more about H.R. 1 and its impact on Apple Health, join us for the following stakeholder webinars.
</p>
<ol>
<li>Session 1 | <a href="https://youtu.be/tBSDd3Jlu78">View the webinar</a> | <a href="https://www.hca.wa.gov/assets/free-or-low-cost/hr1-impacts-webinar-series-1.pdf">Presentation slides</a> | <a href="https://www.hca.wa.gov/assets/program/hr1-frequently-asked-questions.pdf">Session 1 webinar FAQ</a></li>
<li>Session 2 | June 4 at 10 a.m. (registration to come - save the date)</li>
<li>Session 3 | Sept. 3 at 10 a.m.</li>
<li>Session 4 | Dec. 3 at 10 a.m.</li>
</ol>
<p>
<strong>Apple Health Community Connectors - H.R. 1 ambassador program</strong>
<br />
The Health Care Authority provides guidance and training resources for any member of the public who will assist clients in navigating the changes coming to Apple Health. Learn more about <a href="https://www.hca.wa.gov/free-or-low-cost-health-care/i-help-others-apply-and-access-apple-health/supporting-clients-changes-apple-health">becoming an Apple Health Community Connector</a>.
</p>
<p>
<strong>Stay tuned: More to come</strong>
To provide WSMA members an opportunity to provide meaningful feedback and direction on implementation, the WSMA will collaborate with HCA on a webinar for members that provides an overview of the H.R. 1 changes that are coming in 2027 and beyond and a Q&amp;A about those changes. Details to come.
</p>
</div> | 5/8/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| washington-state-takes-legal-action-to-allow-health-inspections-of-northwest-ice-processing-center | Washington State Takes Legal Action to Allow Health Inspections of Northwest ICE Processing Center | Latest_News | Shared_Content/News/Membership_Memo/2026/May 8/washington-state-takes-legal-action-to-allow-health-inspections-of-northwest-ice-processing-center | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2026/may/gov-ferguson-geo-press-conference-5-645x425px.jpg" class="pull-right" alt="Image of Gov Ferguson speaking to crowd" /></div>
<h5>May 8, 2026</h5>
<h2>Washington State Takes Legal Action to Allow Health Inspections of Northwest ICE Processing Center</h2>
<p>
In February, <a href="https://www.wsma.org/Shared_Content/News/Press_Release/2026/wsma-urges-congress-to-curb-ice-enforcement-uphold-health-standards-in-detention-facilities">the WSMA pressed Congress to curb Immigration and Customs Enforcement activities and uphold health standards in detention facilities</a>, citing a 2026 Government Accountability Office report that Customs and Border Protection "has not consistently implemented [medical care]" and troubling accounts of ICE detainees in inadequate sanitary conditions deprived of needed medical care or other basic human needs. WSMA's advocacy on the issue was aided by <a href="https://www.wsma.org/wsma/wsma/about/policies/whats_our_policy/access-to-health-care-health-care-reform/Protecting_Access_to_Care_Regardless_of_Immigration_Status.aspx">new policies</a> derived from House of Delegates Resolution C-19 Protecting Patient Access to Care Regardless of Immigration Status passed in 2025 and authored by Joy Bucher, MD, and Alan Boyd, DO.
</p>
<p>
This week, we're pleased to report <a href="https://governor.wa.gov/news/2026/governor-ferguson-attorney-general-brown-seek-court-order-permit-health-inspections-northwest-ice">Gov. Bob Ferguson and Attorney General Nick Brown have begun legal action against The GEO Group</a>, the private company that owns and operates the Northwest ICE Processing Center. The action asks the court to order The GEO Group to allow Department of Health inspectors into the immigration detention facility to ensure it is following state law, and to investigate the more than 3,500 complaints from detainees about conditions in the facility, which range from being deprived of needed prescribed medication after a medical emergency to instances of abuse and sexual assault.
</p>
<p>
<strong>CME on demand</strong>
<br />
On May 1, the WSMA hosted a well-attended webinar featuring Genevieve Pagalilauan, MD, who shared her experience volunteering to provide her medical expertise for patients already in custody at immigration detention centers, and Toren Davis, DO, and Amrita Stark, MD, who shared their experiences caring for patients who face increased barriers to medical care access in their communities due to real or perceived threat of detainment. The presenters graciously allowed the session to be recorded and offered as enduring CME to WSMA members. <a href="http://www.wsma.org/wsma/education/on_demand_webinars/immigration-law-enforcement-and-patient-access-to-care.aspx">View the webinar</a>. This activity has been approved for <em>AMA PRA Category 1 Credit</em><sup>TM</sup>.
</p>
</div> | 5/8/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wiser-update-new-survey-webinar-and-q-a-with-virtix | WISeR Update: New Survey, Webinar and Q&A with Virtix | Latest_News | Shared_Content/News/Membership_Memo/2026/May 8/wiser-update-new-survey-webinar-and-q-a-with-virtix | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2026/may/Medicare-iStock-1047505000-645x425px.jpg" class="pull-right" alt="Image of medicare document header" /></div>
<h5>May 8, 2026</h5>
<h2>WISeR Update: New Survey, Webinar and Q&amp;A with Virtix</h2>
<p>
Since its introduction in Washington state in January, the Centers for Medicare and Medicaid Services' pilot prior authorization program for traditional Medicare, the Wasteful and Inappropriate Service Reduction Initiative, has seen frequent complaints from physicians and patients on delays and denied coverage, with the WSMA taking <a href="https://www.wsma.org/Shared_Content/News/advocacy-report/2026/April%2017/latest-updates-on-wiser-prior-authorization-pilot-program.aspx?_zs=A3aFd1&amp;_zl=F3NhA">a lead role</a> in advocating on behalf of the physician community. In frequent meetings with CMS and state policymakers, the WSMA has pressed our concerns around the rollout of the program, the lack of transparency surrounding its implementation, and the impacts on patient care. Here are the latest developments.
</p>
<p>
<strong>Call for feedback: New WISeR survey</strong>
<br />
The WSMA has partnered with the American Medical Association to gather physicians' experiences with the new Medicare WISeR program. If you have encountered prior authorization requirements under this new program, please take a few moments to <a href="https://www.surveymonkey.com/r/FVWYJLL">complete the survey</a>.
</p>
<p>
<strong>Wednesday, May 27, Webinar: WISeR in Practice - What Washington Physicians Need to Know</strong>
<br />
While we continue to advocate on the impact of the program on physicians and patients, the WSMA requested that the Centers for Medicare and Medicaid Services and Virtix Health, the designated vendor for Washington, provide practical training to physicians and practices and be available for questions. In response to our request, Virtix Health is hosting a lunchtime webinar on Wednesday, May 27, designed for Washington state physicians, organizations, and staff, which will include a Q&amp;A. <a href="https://virtixhealth.com/wiser_model/wiser_webinars/webinar-what-washington-providers-need-to-know">Register online</a>.
</p>
</div> | 5/8/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-delegates-resolutions-for-the-2026-hod-meeting-must-be-submitted-via-new-online-form | WSMA Delegates: Resolutions for the 2026 HOD Meeting Must Be Submitted Via New Online Form | Latest_News | Shared_Content/News/Membership_Memo/2026/May 8/wsma-delegates-resolutions-for-the-2026-hod-meeting-must-be-submitted-via-new-online-form | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2026/may/Resolutions-Print-2-Cropped-645x425px.png" class="pull-right" alt="Image of resolution documents" /></div>
<h5>May 8, 2026</h5>
<h2>WSMA Delegates: Resolutions for the 2026 HOD Meeting Must Be Submitted Via New Online Form</h2>
<p>
As announced in <a href="https://www.wsma.org/Shared_Content/News/advocacy-report/2026/February%205/two-process-changes-coming-to-the-house-of-delegates-in-2026.aspx?_zs=A3aFd1&amp;_zl=gm4bA">February</a>, starting this year, WSMA delegates are required to submit resolutions through <a href="https://takeaction.wsma.org/resolution-submittal/?_zs=A3aFd1&amp;_zl=w9CgA">a new online submission form</a>. This new requirement will modernize and streamline resolution intake and is part of a larger effort by the WSMA to improve the functionality and accessibility of the WSMA House of Delegates.
</p>
<p>
<strong>About these changes</strong>
<br />
Based on advances in technology as well as feedback from delegates, county and specialty societies, and the broader WSMA membership, the WSMA identified two ways to improve the functionality and accessibility of the House of Delegates.
</p>
<p>
<strong>Expanded use of virtual reference committees</strong> - Testimony submitted through the virtual reference committees will now be used by reference committee members to draft preliminary reports in advance of the annual House of Delegates meeting. Those preliminary reports-Reference Committee Reports B and C-will be distributed to delegates ahead of the meeting for review, then presented as consent calendars during Saturday's committee sessions.
</p>
<p>
Delegates will retain the ability to extract items from the consent calendar for discussion, debate, and amendment during the in-person reference committee meetings. The preliminary reference committee reports will then be revised and considered by the full House on Sunday with the same opportunities for extraction and deliberation.
</p>
<p>
This change is intended to:
</p>
<ul>
<li>Increase accessibility for members who are unable to attend in person due to work, family, or other obligations.</li>
<li>Streamline the House's work by providing reference committee reports in advance of the meeting.</li>
<li>Allow delegates more time to review and consider policy proposals.</li>
<li>Allow more time for county societies, specialty societies, and special sections to caucus to discuss the preliminary reference committee reports.</li>
</ul>
<p>
<strong>New online submission form for resolutions</strong> - As mentioned, this new requirement will modernize and streamline resolution intake, helping to collect necessary information from the start. Use the <a href="https://takeaction.wsma.org/resolution-submittal/?_zs=A3aFd1&amp;_zl=w9CgA">WSMA Resolution Submittal Form</a> to submit a resolution for the 2026 House of Delegates meeting. Learn more about how to write, format, and find sponsors for your resolution <a href="https://www.wsma.org/wsma/events/annual_meeting/how_to_write_a_resolution/wsma/events/annual_meeting/How_to_Write_a_Resolution/how_to_write_a_resolution.aspx?hkey=a22cd977-aaed-4445-9ee2-6fc4716a7136">here</a> Per the WSMA Bylaws, Aug. 27 is the final deadline for receipt of on-time resolutions. All resolution submissions approved for acceptance by the on-time deadline will be posted to the virtual reference committee for review and comment. Resolutions received after the deadline will not be posted in the virtual reference committees but will be distributed on Saturday morning of the House of Delegates. They will require consent of two-thirds of the House at opening session to be considered.
</p>
<p>
If you have questions or would like to share feedback, please contact us at <a href="mailto:HOD@wsma.org">HOD@wsma.org</a>. The 2026 <a href="https://wsma.org/wsma/events/annual_meeting/annual_meeting.aspx">Annual Meeting of the WSMA House of Delegates</a> will take place Sept. 26-27 at the Historic Davenport in Spokane.
</p>
</div> | 5/8/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-reports-campaigning-and-advocating-for-medicine | WSMA Reports: Campaigning and Advocating for Medicine | Latest_News | Shared_Content/News/Membership_Memo/2026/May 8/wsma-reports-campaigning-and-advocating-for-medicine | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/MembershipMemo/2026/may/cover-wsma_mayjune-2026-645x425px.jpg" class="pull-right" alt="Image of WSMA Reports May-June 2026 header" /></div>
<h5>May 8, 2026</h5>
<h2>WSMA Reports: Campaigning and Advocating for Medicine</h2>
<p>
At a time when science is under assault and health care faces federal cuts, physician participation in political and legislative processes is more important than ever.
</p>
<p>
The midterm elections are just months away, and just as it has in past years, health care is likely to be a hot topic. For our May/June WSMA Reports <a href="https://www.wsma.org/Shared_Content/News/Latest_News/2026/campaigning-for-medicine">feature story</a>, writer John Gallagher talks with physician leaders past and present of WSMA's nonpartisan political campaign arm, WAMPAC, on what's in store for medicine come November-and how you can help shape the outcomes.
</p>
<p>
To get the next generation involved in advocacy on behalf of the profession and patients, the WSMA created the Medical Student and Resident Advocacy Program. For our <a href="https://www.wsma.org/Shared_Content/News/Latest_News/2026/new-program-builds-next-generation-of-health-care-advocates">secondary feature</a>, writer Rita Colorito speaks with five graduates of our inaugural certificate program-our next generation of physicians-on what lessons they learned from the program and how they'll help shape their advocacy going forward.
</p>
<p>
Advocacy happens in all public forums, social media included. For our risk-management column, experts at Physicians Insurance explain why it's vital that medical groups' social media be carefully managed and provide best practices on social media policies and procedures.
</p>
<p>
Also in the issue:
</p>
<ul>
<li><a href="https://www.wsma.org/Shared_Content/News/Latest_News/2026/member-spotlight-hans-p-cassagnol-md-mmm">Member spotlight on Hans P. Cassagnol, MD</a>.</li>
<li><a href="https://www.wsma.org/Shared_Content/News/Latest_News/2026/doctors-making-a-difference-estell-williams-md">Estell Williams, MD, is a doctor making a difference</a>.</li>
<li>Match Day Class of 2026-a look by the numbers.</li>
<li><a href="https://www.wsma.org/Shared_Content/News/Latest_News/2026/are-we-treating-adhd-or-the-conditions-of-modern-life">Are We Treating ADHD-Or the Conditions of Modern Life? A Heartbeat column from Alina Urriola, MD</a>.</li>
</ul>
<p>
And more.
</p>
<p>
This issue's cover illustration is by <a href="https://sgonzalesart.com/">Sarah Gonzales</a>.
</p>
<p>
<em>WSMA Reports</em> is WSMA's flagship magazine, published six times a year as an exclusive member benefit, with each issue containing news, analysis, and opinion for the physician community in Washington state.
</p>
</div> | 5/8/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| midterm-elections-on-the-horizon-join-the-wampac-diamond-club | Midterm Elections on the Horizon - Join the WAMPAC Diamond Club! | Latest_News | Shared_Content/News/advocacy-report/2026/Apr 30/midterm-elections-on-the-horizon-join-the-wampac-diamond-club | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2026/april/iStock-1259154099-stethoscope-ballotbox-blue background-645x425px.png" class="pull-right" alt="graphic of ballot box" /></div>
<h5>Apr. 30, 2026</h5>
<h2>Midterm Elections on the Horizon - Join the WAMPAC Diamond Club!</h2>
<p>
WAMPAC, the nonpartisan campaign arm of the WSMA, works to identify and support candidates for political office whose priorities align with the house of medicine. The relationships we build on the campaign trail are crucial to our advocacy on WSMA's legislative priorities, such as the passage of legislation ensuring access to and insurance coverage for vaccines and the defeat of all concerning scope of practice expansion proposals during the 2026 legislative session.
</p>
<p>
Health care issues are front of mind for voters and candidates as decisions made at the Capitol impact access to care and the practice of medicine in Washington state. The 2026 midterm elections will see more than two-thirds of the state Legislature up for election (125 positions), as well as all 10 of the state's congressional House seats.
</p>
<p>
WAMPAC's role is to advocate on your behalf, and we start from the ground up before candidates are even sworn into office by engaging with campaigns. Each session, lawmakers consider hundreds of policies that could impact the practice of medicine and patient care, and with no physicians in the Legislature, it's crucial that the physician voice has an avenue to help influence good policy.
</p>
<p>
The Diamond Club, WAMPAC's elevated membership program, offers exclusive benefits like special recognition at WSMA events, insider election updates from WSMA's government affairs team, invitations to campaign events, and opportunities to connect with elected officials. There are three Diamond Club membership levels: Bronze ($250), Silver ($500), and Gold ($1,000).
</p>
<p>
Your contributions-large or small-will help WAMPAC stay relevant and give us the resources we need to advocate on your behalf as more and more interest groups try to gain a foothold on health care policy issues. As a physician or health care leader who values advocacy, would you donate today? Make your contribution at <a href="https://www.wsma.org/wampac">wsma.org/wampac</a>.
</p>
<p>
With questions about your Diamond Club membership or WAMPAC's engagement on campaigns, please contact WAMPAC Director Alex Wehinger at <a href="mailto:alex@wsma.org">alex@wsma.org</a>.
</p>
</div> | 4/30/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| wsma-successfully-launches-medical-student-and-resident-advocacy-program | WSMA Successfully Launches Medical Student and Resident Advocacy Program | Latest_News | Shared_Content/News/advocacy-report/2026/Apr 30/wsma-successfully-launches-medical-student-and-resident-advocacy-program | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2026/april/2026-Medical-Student-and-Resident-Advocacy-Day-capitol-steps_v2-645x425px.jpg" class="pull-right" alt="image of Medicare documents" /></div>
<h5>Apr. 30, 2026</h5>
<h2>WSMA Successfully Launches Medical Student and Resident Advocacy Program</h2>
<p>
The WSMA recently wrapped up the inaugural session of our newest program to support our state's physicians in training: the WSMA Medical Student and Residency Advocacy Program. It was a successful first year, providing medical students and residents with the tools, knowledge, and confidence to be effective advocates for their profession and patients.
</p>
<p>
The program started in December 2025 and ran for the duration of the 2026 legislative session, with participants regularly meeting virtually to learn about the basics on the Washington state Legislature, how a bill becomes a law, and how to engage in the WSMA's House of Delegates and along the campaign trail.
</p>
<p>
Through the program, medical students and residents followed the progress of <a href="https://app.leg.wa.gov/billsummary/?BillNumber=2242&amp;Year=2025&amp;Initiative=false">House Bill 2242</a>, WSMA priority legislation to preserve access to preventive services and vaccines, hearing from various stakeholders who were involved in crafting the policy and shepherding it through the legislative process to its final passage into law.
</p>
<p>
The program culminated with an in-person advocacy day at the state Capitol in Olympia, where the WSMA hosted 20 participants from all three Washington state medical schools and multiple residency programs who traveled from as far as Spokane and as close as Olympia.
</p>
<p>
The day was filled with multiple speakers, including the prime sponsor of the bill to ban noncompete agreements, Rep. Liz Berry (D-Seattle), and state agency leaders such as the CEO of the Washington Health Benefit Exchange, Ingrid Ulrey. Participants also had a chance to tour the state Capitol and meet with legislators while they took votes on the House and Senate floors.
</p>
<p>
WSMA awarded medical students and residents with a certificate to include in their CV to commemorate their participation. We are grateful for their time and engagement and hope they continue to be lifelong advocates. Look for information about the 2027 WSMA Medical Student and Resident Advocacy Program to be shared later in the year.
</p>
</div> | 4/30/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| are-we-treating-adhd-or-the-conditions-of-modern-life | Are We Treating ADHD - Or the Conditions of Modern Life? | Latest_News | Shared_Content/News/Latest_News/2026/are-we-treating-adhd-or-the-conditions-of-modern-life | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2026/may-june/Heartbeat-Website-Image-Urriola-645x425px.png" class="pull-right" alt="WSMA Reports Heartbeat logo featuring Alina Urriola, MD, MPH" /></div>
<h5>Apr. 28, 2026</h5>
<h2>Are We Treating ADHD - Or the Conditions of Modern Life?</h2>
<p>
By Alina Urriola, MD, MPH
</p>
<p>
My patient, "Lisa," spent a decade as a highly competent, reliable intensive care nurse, thriving in a setting characterized by clear roles, immediate feedback, and focused, high-stakes decision-making. When she was promoted into an administrative role requiring project management, shifting priorities, and prolonged self-directed task organization, her performance declined. She began to doubt herself and was placed on a performance improvement plan. She met criteria for attention-deficit/hyperactivity disorder, and stimulant treatment significantly improved her ability to stay on task and restored her confidence.
</p>
<p>
Diagnoses of ADHD in adults have increased substantially over the past decade. As a practicing physician, I prescribe stimulant medications regularly and—as in Lisa's case—I have seen their capacity to significantly improve patients' functioning and quality of life.
</p>
<p>
At the same time, their expanding use invites a broader professional question: What does it mean, at a societal level, when growing numbers of adults require long-term stimulant therapy to meet everyday expectations of work and productivity?
</p>
<p>
The dominant clinical narrative frames ADHD primarily as a highly hereditary neurodevelopmental disorder rooted in individual neurobiology. While this model is valid for many patients, it is incomplete. Stimulant medications improve attention, task initiation, and persistence not only in individuals diagnosed with ADHD, but in most humans. Their effectiveness alone does not establish a disease-specific deficiency. Rather, it highlights how pharmacologic agents can enhance performance in environments that demand sustained focus, rapid task-switching, and constant cognitive engagement.
</p>
<p>
Those demands have intensified. Modern professional life increasingly requires prolonged attention to abstract tasks, continuous digital availability, greater cognitive load, reduced external structure, and heightened performance pressure. For many adults, attentional strain reflects not individual failure, but the limits of human cognition under persistent load.
</p>
<p>
Adult ADHD diagnosis hinges on functional impairment, yet impairment is inherently contextual, as illustrated in Lisa's case. As expectations escalate, more individuals will meet diagnostic thresholds. This does not invalidate their distress, nor does it negate ADHD as a legitimate neurodevelopmental condition. However, it does suggest that medicine is increasingly being asked to address a mismatch between human attentional capacity and the structures in which we work and live.
</p>
<p>
The ethical concern is not whether stimulant medications should be prescribed—they often should. Rather, it lies in the broader implications of their widespread, long-term use. When pharmacologic treatment becomes the primary means by which individuals adapt to increasingly demanding systems, medicine risks unintentionally relocating structural problems into individual biology.
</p>
<p>
This is not a new tension for our profession. Medicine has long been called upon to optimize bodies for systems: hypnotics for shift work, antidepressants for burnout, beta blockers for performance anxiety. Each intervention may be clinically appropriate. Taken together, an important public health implication emerges. If large segments of the adult population require medication to function at baseline levels of productivity, that pattern suggests systemic strain rather than widespread personal pathology.
</p>
<p>
Acknowledging this tension does not mean withholding care. Patients live in the world as it is, not as it ought to be. Compassionate practice meets patients where they are and offers tools that reduce suffering and improve functioning. But ethical care also requires honesty—recognizing that benefit does not necessarily imply defect, and that treatment does not automatically validate the conditions that make it necessary.
</p>
<p>
As physicians, we are trained to think both clinically and systemically. Caring for individual patients should not preclude reflection on the broader forces shaping their health. On the contrary, maintaining that dual awareness may be essential to practicing medicine that is not only effective, but humane.
</p>
<p>
<em>Alina Urriola, MD, MPH, is a family physician at Vera Whole Health and a volunteer physician at Lahai Health, both in Seattle.</em>
</p>
<p>
<em>This article was featured in the May/June 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 4/28/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| campaigning-for-medicine | Campaigning for Medicine | Latest_News | Shared_Content/News/Latest_News/2026/campaigning-for-medicine | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img alt="" src="/images/Newsletters/Reports/2026/may-june/COVER-WSMA_MayJune-2026-645x425px.jpg" class="pull-right" /></div>
<h5>Apr. 28, 2026</h5>
<h2>Campaigning for Medicine</h2>
<p>
By John Gallagher
</p>
<h5>
<em>Members only; sign-in required.</em>
</h5>
<br />
<p>
The midterm elections are just months away, and just as it has in past years, health care is likely to be a hot topic. Changes to Medicaid and insurance coverage made by Congress last year with the passage of H.R. 1 have already become an issue in federal campaigns nationwide. Meanwhile, at the local level, candidates will have to grapple with how Washington will implement those changes and mitigate some of the negative impact that they may have on patients, to say nothing of the state budget.
</p>
<p>
"There is still so much left to untangle," Alex Wehinger, associate director of legislative and political affairs at the WSMA, says of the new law. Some of the issues relate to federal distribution of funds, but others are structural, including imposition of a work requirement for some Medicaid recipients. The result will put the Legislature in a tough spot. "The impacts will be felt heavily in the state. Combined with the existing pressures on the state budget, it will create a perfect storm for a really challenging dynamic," Wehinger says.
</p>
<p>
Yet despite the stakes involved, to some extent physicians remain underrepresented in the conversation despite the expertise that they can bring to it. There are 20 physicians in Congress, including Rep. Kim Schrier of Washington, who is co-chair of the Congressional Doctors Caucus. There are currently no physicians in the Washington State Legislature.
</p>
<p>
In terms of political activity, physicians are often outstripped by other groups. Some political action committees, or PACs, the entities that allow nonprofits to support candidates, are much more flush with money to influence the conversation.
</p>
<p>
"Whenever there's an issue that comes up, there are many other groups that aren't physicians that are going to jump in and push really hard on the other side," says Elizabeth Peterson, MD, a pediatric plastic surgeon based in Spokane. Dr. Peterson has served on the board of the Washington Medical Political Action Committee, or WAMPAC, the nonpartisan political campaign arm of the WSMA, which was established to help identify and support candidates for political office in the state whose priorities align with the house of medicine. "Physician groups have always lagged behind attorney and nursing union groups, who therefore have more to say on those issues."
</p>
<p>
WAMPAC is governed by a board of 12 physicians, one from each of the state's congressional districts and two at large. The board makes decisions about engagement in campaigns and helps direct WAMPAC's campaign work. The PAC also has a Diamond Club for physicians interested in getting more involved politically. At elevated contributions, the club provides insider updates about the political landscape, as well as invitations to events with candidates and elected officials.
</p>
<h3>A high-stakes midterm</h3>
<p>
The full picture for the current election cycle for Washington state offices is only emerging now. "At the state level, more than two-thirds of the Legislature will be up for election," says Wehinger, who also serves as the director of WAMPAC. "We know that some folks are retiring or running for other offices. There's no shortage of offices that will be on the ballot. It's just the 'who' that is to be determined." (The deadline for candidate filings in the state is May.)
</p>
<p>
However, the general outline of the election cycle is clear. Midterm elections generally have a lower turnout, although there is some indication from recent special elections around the country that this year may be an exception. The party holding the presidency tends to lose seats. Districts that swing between Republican and Democratic candidates are increasingly rare. "A moderate Democrat versus a progressive Democrat is more our version of a swing district these days," says Wehinger.
</p>
<p>
Health care promises to be a major campaign issue. "Every election has significant influence over the political landscape, and that impacts health care in the state," says Wehinger. In particular, the state is still sorting out the
impact of H.R. 1 passed by Republicans last year. The Congressional Budget Office has stated the law will reduce federal spending on health care by over $1 trillion and increase the country's uninsured by 10 million.
</p>
<p>
Clearly, a lot is riding on the election. But as much as the focus is on the ballot box, just as much work—if not more—happens outside of the election. It's not simply a matter of waiting for the results to roll in. Meeting with candidates
to help them understand the issues and then working with legislators on measures important to patients and physicians may not be as visible, but both are critical parts of the process.
</p>
<p>
"People who don't have a background in health care and health care policy are going to make decisions," says Wehinger. "The 360-degree view of advocacy is that it doesn't start on day one of the legislative session. It's about getting to meet these people and share WSMA's issues and priorities so that we have an established relationship when those candidates turn into legislators."
</p>
<p>
Compared to the federal level, state legislators and candidates simply do not have the necessary depth of expertise on staff. "State legislators don't have the requisite expertise to inform their decision-making," says Dr. Peterson. "They don't have the staff to resource it."
</p>
<p>
Nathan Schlicher, MD, JD, a senior vice president at TeamHealth, has a unique perspective on the electoral process: not only is he an emergency department physician at St. Joseph Medical Center, a part of Virginia Mason Franciscan Health, he is also a former member of the Washington State Senate. "Most people who serve at the state level are doing it for the right reasons," he says. Still, serving in the Legislature was "eye opening."
</p>
<p>
"Think about the breadth, scope, and depth of government," he says. "You only have 147 elected people across two chambers, and there are only one or two people who are experts in each caucus or each body that other members rely upon."
</p>
<h3>State impact on day-to-day practice</h3>
<p>
Certainly, the federal government has a huge impact on what happens in every state. That's especially true at a time when health care and evidence-based medicine are under assault at the federal level. "I see the federal government
cutting back on Medicaid and Medicare reimbursements or subsidies, which is very harmful to people," says Nicholas Rajacich, MD, an orthopedic surgeon at MultiCare Mary Bridge Children's Hospital and former chair of WAMPAC's board of directors. "The attacks on science are almost too hard to believe."
</p>
<p>
Yet in many ways physicians are more likely to feel the decisions made at the state level than at the federal level. "The important work at the federal level impacts insurance, Medicare, Medicaid, and vaccines," says Dr. Schlicher. "The day-to-day things that impact delivery of care are going to be done at the state level." Indeed, from a practice perspective, state regulations have far greater impact on physicians. "At the state level, the laws are really what regulate licensure and scope of practice," says Dr. Peterson.
</p>
<p>
By contrast, the sheer volume of interest groups in Washington, D.C., makes it much harder to be heard. Moreover, representatives in particular are trapped in a perennial fundraising loop, which affects their stance on issues.
</p>
<p>
"Votes get determined not just from how much they hear from citizens but how much they hear from lobbyist groups," says Dr. Peterson, who has also served on the board of the American Medical Association's political action committee, AMPAC. "Legislators weigh all the opinions and determine how it will affect their potential vote in the primary and general elections. It's purely pragmatic."
</p>
<p>
State legislators aren't under nearly the same amount of pressure. As a result, "we can be far more effective advocating for things at the state level than at the federal level," says Dr. Rajacich.
</p>
<p>
In addition, says Dr. Schlicher, health care isn't under the same intense spotlight at the state level as it is at the federal level. "The lack of attention on it allows for a little more collegiality than you see at the federal level," he says. "There aren't as many people trying to make the 5 o'clock news with a one-line zinger."
</p>
<p>
Campaign contributions from entities like WAMPAC help physicians get to the table and be heard. "We're not talking about huge contributions, but just enough to let the person know that there is a large group of physicians who have concerns about patient issues and are willing to support the campaign to get their attention," says Dr. Peterson.
</p>
<p>
While some may worry about the influence money has on politics, for better or worse the reality is that campaign contributions are a language that politicians understand. "The political process is messy," admits Dr. Rajacich. "But we should participate because we have the ability to influence what happens."
</p>
<p>
"Frankly, it takes money to engage in this game," agrees Katina Rue, DO, long-term care medical director at Avalon Garden Village in Yakima and hospitalist at Othello Community Hospital, as well as past chair of WAMPAC's board of directors. "We have to have the influence we need by donating to campaigns and starting those connections with candidates."
</p>
<p>
The good news, says Dr. Rue, is that candidates are open to the conversation. "As candidates, they want to meet with us," she says. "It's insightful to ask a candidate for their position before they are elected. I think being able to meet with candidates and see whose values align with the values of science and evidence-based practice is very important."
</p>
<p>
Dr. Peterson stresses that WAMPAC's sole focus in building relationships is on health care. "Sometimes you have to overlook an issue you have strong views about because it doesn't align with someone 100%," she says. "It's not the political party or how they voted on a budget bill or even some controversial issue that we would personally oppose, but more about how they will listen to the house of medicine."
</p>
<h3>A never-ending campaign</h3>
<p>
While campaigns are a vehicle for establishing relationships, the work doesn't end there. Continuing to maintain those relationships is important to making sure that physicians' concerns are top of mind with legislators.
"I do feel that having this connection with them through the political arm allows us to continue relationships back home in the district," says Dr. Rue.
</p>
<p>
At a time when so much of medicine is under question, physicians themselves continue to be highly regarded. That means they can make a difference in conversations with legislators. "Those individual relationships are even more important as society doubts more and more institutions," says Dr. Schlicher. "Of all the people who are going to be involved in advocacy, those in the practice of medicine are still the most trusted. It’s ever more important that you are in the conversation and part of the solution-making."
</p>
<p>
Physician participation in political activities sends a clear message to politicians. "Legislative days are very important, because you realize that they have to be responsive to their constituents," says Dr. Peterson. "Involvement is the best way to get to know your legislators and know the issues before them. You have to be involved or the issues that are important to patients will be ignored."
</p>
<p>
Indeed, says Dr. Peterson, physicians overwhelmingly find participation rewarding. "Every time I see a new person get involved and sit down with a legislator to explain something, almost without fail they get good feedback," she says. "They can't go back to an uninvolved state."
</p>
<p>
However, says Dr. Rue, "Legislative day isn't enough. We need to remain at the table. WAMPAC is one mechanism to do that. The more members and donors we have to our PAC, the more clout we will have with candidates and with the legislators after they are elected."
</p>
<p>
WAMPAC provides its political expertise to all WSMA members as a benefit of their membership in the WSMA and to encourage greater awareness and involvement in the PAC. In general and midterm election years, WAMPAC publishes a legislator report card mailed to WSMA members in advance of the elections as part of WSMA's Legislative Report. WAMPAC also provides WSMA members regular election updates and analysis in the Advocacy Report newsletter. For those interested in diving deeper into state politics, the Diamond Club offers opportunities for more direct interaction with campaigns, including physician-hosted fundraisers. Past fundraisers have included Rep. Schrier as well as candidates for governor and insurance commissioner.
</p>
<p>
"I'm a long-time Diamond Club member, and even as I'm getting to the end of my career, it's important to support that work,†says Dr. Rajacich. However, what is important is membership at any level, he says. "I would like to see a large percentage of members of WSMA join WAMPAC. Physicians need us to advocate for what we do and what our patients need."
Engaging with the system may even mean considering running for office. Each year, the AMA holds an AMPAC Candidate Workshop on how to run a successful campaign. The presence of physicians in legislative bodies is important to making sure that physician issues are heard. Dr. Schrier, whom WAMPAC has supported since she first ran in 2018, has been instrumental in representing medicine during her time in Congress and offers insight into why physician representation in government matters. "Doctors are uniquely equipped to be public servants because of the personal relationships and trust we have forged with our patients and the communities we live in," she says.
</p>
<p>
"Doctors work with our patients as members of Congress should work with the constituents they serve—we don't know their politics, but we are there to find common ground to solve the issues they face. At a time of sharp partisanship and a rise in medical disinformation, I believe this has become increasingly important because doctors in Congress are focused on putting politics aside to fight for the greater good."
</p>
<p>
Meantime, the midterms are looming. Dr. Rue says she understands that for many physicians, the landscape looks bleak. "Right now, people are frustrated, scared, and feeling despair," she says. "Contributing to WAMPAC is one small actionable step that people can take. If we can say that the vast majority of our members donate to WAMPAC, it will be powerful for candidates to hear that."
</p>
<p>
<em>John Gallagher is a freelance writer specializing in health care.</em>
</p>
<p>
<em>This article was featured in the May/June 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 4/28/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| doctors-making-a-difference-estell-williams-md | Doctors Making a Difference: Estell Williams, MD | Latest_News | Shared_Content/News/Latest_News/2026/doctors-making-a-difference-estell-williams-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: Estell Williams, MD graphic" src="/images/Newsletters/Reports/2026/may-june/DMD-Website-Image-Williams-645x425px.png" class="pull-right" /></div>
<h5>Apr. 28, 2026</h5>
<h2>Doctors Making a Difference: Estell Williams, MD</h2>
<p>
For Estell Williams, MD, supporting the development of the next generation of physicians, particularly those who have historically faced systemic barriers to entry, is at the heart of her work outside of her clinical practice as a surgeon at UW Medical Center. Dr. Williams spoke with WSMA Reports about her deep commitment to promoting health equity through mentorship, advocacy, and early investment in students to help ensure the physician workforce mirrors the population it serves.
</p>
<p>
<strong><em>WSMA Reports:</em> What has driven you to make of advocacy work such a big part of your career?</strong>
</p>
<p>
<em>Dr. Williams:</em> At the core of my advocacy work lives the quote by social justice revolutionary Angela Davis, “I’m no longer accepting the things I cannot change, I’m changing the things I cannot accept.†From the time I was an early undergraduate student I began envisioning the type of career I wanted to have in medicine when I finally became a doctor. That vision always included leading initiatives that had profound impacts on my journey. I was a participant and recipient of intentional investment and mentorship. I participated in programs founded and run by people who lived through the circumstances they were helping young people navigate. I saw what change looks like within my own life and I knew I wanted to have that type of impact on communities.
</p>
<p><strong>Can you tell readers a little bit about UW's Doctor's for a Day program and why you think this type of program is so important?</strong>
</p>
<p>
Doctor For a Day is a STEM program that was created to address the shortage of underrepresented students of color in health careers. It was initially started by a University of Washington School of Medicine medical student Joy Thurman-Nguyen during her first year of medical school. Now a family medicine physician at Kaiser Permanente in Seattle, WA, Dr. Thurman-Nguyen grew up in Seattle and faced a lack of exposure to people of color in health careers. In 2014 when she had finally reached medical school, she envisioned bringing a hands-on, educational day of activities to K-12 students of color, featuring role models — volunteer doctors, physical therapists, nurses and dental students — who looked like them.
</p>
<p>
This resonated with me so closely because she and I shared a similar experience and vision for how we can help shape the idea of what is considered possible for so many students. So as an intern in my general surgery training program at the University of Washington I began working with her to lead the program. The University of Washington School of Medicine and particularly Dean Paul Ramsey, MD, offered start-up funding for the program and collaborated with the University of Washington Network for Underrepresented Residents and Fellows to bring resident and fellow volunteers to help mentor students and lead the workshops with the medical students. He funded part of my appointment when I was recruited as faculty to UW to grow the program and expand outreach work in the School of Medicine.
</p>
<p>
The program has grown exponentially captured here in our <a href="https://equity.uwmedicine.org/wp-content/uploads/2025/12/UW-DFAD_19-25.pdf">UW Doctor for a Day Annual Report</a> and is now one of five outreach programs within the center I developed, the Center for Workforce Inclusion and Healthcare System Equity. Medical students, residents, fellows and attending physicians from underrepresented groups served as role models and mentors leading these workshops, interacting with students and sharing their personal stories of obstacles and successes. DFAD The program now serves more than 1,000 students annually in its programming that runs across the K-12 academic school year September through May. Over the years, word of the program spread rapidly within the Seattle and Greater Seattle area. Partnerships were forged with AfricaTown Center for Excellence and Innovation, Federal Way Boys and Girls Club, Healers of Tomorrow, and many more local nonprofit organizations and school districts.
</p>
<p>
Continued engagement of K-12 students through these pathway programs and mentorship improve the connection of an amazing pool of talented disenfranchised students that may not otherwise continue on the path to a career in health care. To truly increase students who are overlooked and often disregarded in health professions we must invest in students early and create an ecosystem that ensures their success.
</p>
<p><strong>Promoting health equity in medicine is a big priority for you. What are you focusing on in your roles as the executive director for UW's Center for Workforce Inclusion and Healthcare System Equity and as a member of WSMA's DEIB Committee?</strong>
</p>
<p>
The Center for Workforce Inclusion for Healthcare System Equity was born out of my realization that we needed a comprehensive effort to support the future development of health leaders. There are many assaults happening to our students that are compromising the ability of our professions to adequately recruit, train, and staff clinics and hospitals delivering care. Health equity involves more than what happens at the bedside but begins much earlier. Health equity involves considering that if we, as a society, aren't providing quality education, we limit the pool of qualified students who can apply to college to make it to medical school or physician assistant school or become a nurse practitioner. When we face limits on the amount of loans students can access, we forfeit the ability of more students to access higher education given financial gaps that change their decision about what career they will enter because they need to feed themselves and contribute financially to their families. We sometimes have such tunnel vision on addressing health equity we lack critical analysis of all the barriers that not only our patients face, but our replacements.
</p>
<p>
I am focusing on building systems that evaluate the larger equity issues at play and how we can build models and educate our Legislature to invest in programs that act earlier. If we wait until it's time to recruit for residency, we have already lost hundreds from the pool in unrealized potential of students who could have gone on to not only address our health care workforce shortage in this state, but also could have been profound clinicians taking excellent care of patients and closing health care gaps.
</p>
<p><strong>What are you hoping to accomplish in your role as a member of the WSMA Foundation board?</strong>
</p>
<p>
I was initially approached by Dr. Mika Sinanan, a dear colleague, friend, and mentor to join as a WSMA Foundation board member. Initially the ask was to help expand the health equity strategic focus area that the board was embarking on at the time. The WSMA as an organization and the Foundation board were so committed to this work that was the easy part of the role. Now my focus has shifted. As I complete my final term I seek to truly engage with the strength of this organization, working across Washington state’s rural and urban communities to strengthen its connections with the next generation of future health leaders who will take the mantle and build on the strong foundation that has been laid. I hope to utilize the work I am doing with WIHSE to develop intentional collaboration through the Foundation so we are mentoring students and building our bench of talented students who will go on to receive the WSMA scholarship to attend medical school and remain in Washington to serve the people of the state as future leaders and advocates that improve the health of all Washingtonians. It has been an honor to work alongside a dedicated group of physicians who move beyond words and ACT as advocates in everything they do from the time they spend at the bedside with patients to their personal time they VOLUNTEER to organizations like WSMA Foundation board. It is these relationships that give me hope during times of uncertainty that we currently face.
</p>
<p>
<em>This article was featured in the May/June 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 4/28/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| managing-social-media-at-your-medical-group | Managing Social Media at Your Medical Group | Latest_News | Shared_Content/News/Latest_News/2026/managing-social-media-at-your-medical-group | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img alt="" src="/images/Newsletters/Reports/2026/may-june/COVER-WSMA_MayJune-2026-645x425px.jpg" class="pull-right" /></div>
<h5>Apr. 28, 2026</h5>
<h2>Managing Social Media at Your Medical Group</h2>
<p>
By Lisa Hamilton, RN
</p>
<p>
In this digital age, social media is a powerful tool for communication, education, and engagement in health care. However, it also introduces risks that must be carefully managed in environments where patient privacy, professional integrity, and organizational reputation are critical. Clinics and medical groups need clear policies that define appropriate use, assign responsibility for managing official accounts, establish oversight, and ensure ongoing staff education.
</p>
<p>
Additionally, organizations must remain vigilant in maintaining ethical, compliant practices that protect both patients and institutional credibility.
</p>
<h3>Benefits of social media use</h3>
<p>
Social media allows your practice or clinic to share timely updates, such as new physicians and practitioners, community events, or health awareness campaigns. During emergencies, it can serve as a vital communication channel for public guidance. It also provides insight into community concerns and helps identify misinformation or reputational risks early.
</p>
<p>
Official accounts should be managed by designated personnel, typically within marketing or communications in larger organizations, to ensure accuracy and compliance. Clear participation guidelines should be posted, stating that content is for general information only and not medical advice. Users should be instructed not to share personal health information or post inappropriate, offensive, or promotional content. Organizations must also reserve the right to moderate or remove posts that violate these standards.
</p>
<p>
Patient or staff testimonials can enhance reputation, but written consent must always be obtained before sharing any identifiable images or stories. Additionally, organizations must ensure they have proper permissions for any copyrighted materials used.
</p>
<h3>Risks of social media use</h3>
<p>
Social media presents challenges, including potential violations of patient privacy laws, reputational harm from unprofessional content, and the spread of inaccurate medical information. Even confirming that someone is a patient can violate privacy regulations.
</p>
<p>
To mitigate these risks, employees must receive regular training on appropriate social media use. This includes recognizing misinformation, safeguarding confidentiality, and responsibly using emerging technologies such as AI-generated media.
</p>
<h3>Key components of a social media program</h3>
<p>
</p>
<blockquote><strong>Staff education and training:</strong> All staff—including employees, physicians, practitioners, and volunteers—should receive annual training that covers privacy laws, professionalism, use of disclaimers, and how to report concerns. Staff must understand that personal posts may still reflect on the organization.</blockquote>
<blockquote><strong>Patient privacy:</strong> Employees must never share protected health information on social media. This includes obvious identifiers like names and photos, as well as less obvious details that could indirectly identify a patient. Even seemingly harmless stories may violate privacy if circumstances are unique. Photos taken in the workplace must be reviewed carefully to ensure no patient information is visible.</blockquote>
<blockquote><strong>Monitoring and discipline:</strong> Your clinic or group should clearly define acceptable social media use during work hours and on organizational devices. Staff should understand that activity may be monitored and that violations can lead to disciplinary action, ranging from retraining to termination or regulatory reporting.</blockquote><blockquote><strong>Online professionalism:</strong> Employees should not create fake or misleading accounts related to the organization, nor should there be unauthorized use of the organization's name, logo, or email. When identifying themselves as employees online, staff should include disclaimers clarifying that their views are personal. Caution should also be exercised when engaging with controversial or AI-generated content that could be misinterpreted.</blockquote>
<blockquote><strong>Reporting violations:</strong> Employees are responsible for reporting inappropriate social media use, such as posts containing patient information, misuse of organizational resources, or content that harms colleagues or the organization.</blockquote>
<blockquote><strong>Networking practices:</strong> Health care professionals should maintain clear boundaries between personal and professional relationships. They should not initiate or accept social media connection requests from patients. If contact occurs, patients should be directed to official communication channels.</blockquote>
<blockquote><strong>Responding to public complaints:</strong> Negative online feedback should be handled professionally and without disclosing any patient information. Only trained personnel should respond on behalf of the organization. Responses should protect privacy while demonstrating accountability.</blockquote>
<blockquote><strong>Employee complaints online:</strong> When employees post criticism about workplace conditions, organizations must carefully evaluate whether the content is protected under labor laws. Human resources and legal teams should be involved before taking disciplinary action to ensure compliance and avoid infringing on employee rights.</blockquote>
<blockquote><strong>Human resource considerations:</strong> Social media may be used cautiously in hiring, limited to publicly available information and applied consistently. Any findings must be job-related and documented appropriately. Employees should also be mindful of their personal online presence. Unprofessional behavior, even outside of work, can lead to disciplinary consequences if it impacts the organization.</blockquote>
<p>
As social media continues to evolve, clinics and medical groups must approach its use with careful planning and ethics. By implementing clear policies, providing ongoing education, and promoting responsible online behavior, organizations can use social media to enhance communication, strengthen public trust, and uphold patient confidentiality.
</p>
<p>
<em>This guidance is provided for educational purposes only. Members of Physicians Insurance can access the unabridged version of this guidance document at <a href="https://www.phyins.com/resources">phyins.com/resources</a>.</em>
</p>
<p>
<em><strong>Lisa Hamilton, RN, BSN, CPHRMM,</strong> is a senior clinical risk consultant with Physicians Insurance.</em>
</p>
<p>
<em>This article was featured in the May/June 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 4/28/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| member-spotlight-hans-p-cassagnol-md-mmm | Member Spotlight: Hans P. Cassagnol, MD, MMM | Latest_News | Shared_Content/News/Latest_News/2026/member-spotlight-hans-p-cassagnol-md-mmm | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/Reports/2026/may-june/Member-Spotlight-Cassagnol-645x425px.png" class="pull-right" alt="WSMA Reports Member spotlight on Hans P. Cassagnol, MD, MMM." /></div>
<h5>Apr. 28, 2026</h5>
<h2>Member spotlight on Hans P. Cassagnol, MD, MMM.</h2>
<p>
<strong>Works at:</strong> CommonSpirit Health, Northwest Region/Virginia Mason Franciscan Health.
</p>
<p>
<strong>In practice:</strong> 24 years.
</p>
<p>
<strong>Specialty:</strong> OB-GYN.
</p>
<p>
<strong>Why WSMA:</strong> The WSMA means having an organization that solely focuses on our interests as physicians and advanced practice professionals. To say that health care is currently undergoing significant disruption is a gross understatement. Having an organization that represents our voices as clinicians in this crucial conversation is paramount. I strongly believe having a clinical voice in shaping the future of health care in Washington is key for us to get the best possible outcomes for our patients and communities as well as for our profession. This is one of the many reasons why WSMA membership is so valuable to me.
</p>
<p>
<strong>Top concerns in medicine:</strong> My top concerns in health care are related to burnout and the lack of enough clinical professionals to care for our growing population. Our current clinicians are aging out of the workforce while our population is changing, both in terms of age and disease burden. We are not educating clinicians at a pace that is required to replace our current workforce and meet our growing population needs. Both factors lead to increasing burnout in our profession.
</p>
<p>
<strong>Challenges ahead:</strong> A major challenge that many of us are facing right now is the daunting ï¬nancial equation. We have all seen the fallout from years of escalating costs combined with declining reimbursement. This dynamic has only worsened in recent years due to state and national legislation and budget impacts, and I fear patients will ultimately suffer. After burnout and the lack of enough medical professionals, the ï¬nancing of health care delivery deï¬nitely keeps me up at night.
</p>
<p>
<strong>Why my specialty:</strong> There are very few subspecialties in medicine where you can be a primary care doctor, an ICU physician, an ED physician, a radiologist, and a surgeon all in the same day. Being an OB-GYN is special in that way. It requires a unique level of trust between physician and patient that is meaningful to me.
</p>
<p>
<strong>If I weren't a doctor, I'd be:</strong> A marine biologist. I love the sea and all it has to offer.
</p>
<p>
<strong>Best advice I've received:</strong> When choosing a job or a team, make sure you have these factors:
</p>
<ol>
<li>A boss and a team that believe in you and have your back.</li>
<li>Adequate time to become competent in your new role (no one walks in being competent).</li>
<li>The resources you need to be successful.</li>
</ol>
<p>
<strong>Goals for the year:</strong>
</p>
<ol>
<li>Continue to support my team and Virginia Mason Franciscan Health in improving our outcomes.</li>
<li>Continue making the Paciï¬c Northwest our new home.</li>
<li>Aiming to make our family nonproï¬t successful in its ï¬rst year (Anya's Mission).</li>
</ol>
<p>
<strong>Pet peeves:</strong> Not taking advantage of an opportunity and wasting resources.
</p>
<p>
<em>This article was featured in the May/June 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 4/28/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| new-program-builds-next-generation-of-health-care-advocates | New Program Builds Next Generation of Health Care Advocates | Latest_News | Shared_Content/News/Latest_News/2026/new-program-builds-next-generation-of-health-care-advocates | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img alt="WSMA Reports May-June 2026" src="/images/Newsletters/Reports/2026/may-june/COVER-WSMA_MayJune-2026-645x425px.jpg" class="pull-right" /></div>
<h5>Apr. 28, 2026</h5>
<h2>New Program Builds Next Generation of Health Care Advocates</h2>
<p>
By Rita Colarito
</p>
<h5>
<em>Members only; sign-in required.</em>
</h5>
<br />
<p>
The practice and business of health care have always been tied to policies and legislation at the state and federal levels. As the assault on science and evidence-based medicine continues, physician voices are more critical than ever in policy discussions. To get the next generation involved in advocacy, the WSMA created the Medical Student and Resident Advocacy Program.
</p>
<p>
The certification program, designed with input from Washington's three medical schools, is the brainchild of WSMA President-Elect Matt Hollon, MD, MPH, MACP, who began his own advocacy work as a mid-career physician when he visited Washington, D.C., to help represent the Washington Chapter of the American College of Physicians.
</p>
<p>
"Medical students and residents have this incredibly valuable perspective on the health care system," says Dr. Hollon. "They really have, oftentimes, kind of clairvoyant views on contemporary changes in society and the ways those
can impact the health care system. Involving them helps to evolve the health care system. It's the system that they're going to practice in for the rest of their professional careers. Let's help them influence it."
</p>
<h3>Learning the ropes</h3>
<p>
More than 70 medical students and residents participated in the inaugural program, launched in December 2025 and precipitating the start of the 2026 legislative session in January. The program included six virtual one-hour sessions held in the evening every other week to provide an overview of the legislative process and effective advocacy and lobbying of the Washington State Legislature.
</p>
<p>
Following House Bill 2242—a bill to preserve access to preventive services and vaccines—throughout the legislative process served as a case study, with the governor's office and the state Department of Health leading a discussion during a virtual session. Other sessions included hearing the advocacy experiences of two members of the WSMA board of trustees, Carrie Horwitch, MD, and Avanti Bergquist, MD.
</p>
<p>
To earn the certification, participants needed to complete eight hours. Sessions were recorded to accommodate schedule changes. An in-person advocacy day held on March 4 in Olympia counted for six hours and allowed students and residents to lobby directly with legislators. "We wanted something where all the participants could come together and exercise the skills that they learned throughout the program," says Malorie Toman, lobbyist for the WSMA and one of the program's instructors.
</p>
<h3>Lessons learned</h3>
<p>
Some program participants were new to policy or advocacy work. Prior to medical school, Nathaniel Giauque, a first-year medical student at Pacific Northwest University of Health Sciences, worked as a firefighter in Utah and emergency medical technician in Yakima—experiences, he says, that highlighted the need for advocacy.
</p>
<p>
"I see a lot of things in medicine that aren't set up well for our patients. They're not set up well for anyone, really, including physicians," says Giauque. "The people with the most influence ought to be the people who are making the biggest difference. I don’t want to wait until I'm done with all my schooling to get started."
</p>
<p>
For many participants, the program offered an extension of prior policy or advocacy work. Throughout medical school, Manasvi Khullar, DO, had participated in the American Medical Association's student advocacy, writing resolutions for consideration by the AMA House of Delegates. When Dr. Khullar started her neurology residency at the University of Washington she joined the WSMA to get more involved at the state and local levels.
</p>
<p>
"I wanted to learn how those [advocacy] relationships are formed, and how to effect change, not just through writing policy, but by meeting with elected representatives, by talking to other agencies, and advancing policy ideas forward in that way," says Dr. Khullar, a first-year resident. Ana Chang, a fourth-year medical student at PNWU, had previously written a resolution for a family medicine conference. "I wanted to get involved with understanding how policies are shaped," she says.
</p>
<h3>Advocacy in action</h3>
<p>
For most participants, the lobby day in Olympia was the first time they lobbied legislators face to face. "It was very exciting to meet with various lobbyists and legislators about what their current focuses are in health care," says Mya
Leonhard, a first-year medical student at the Washington State University Elson S. Floyd College of Medicine. Leonhard first got involved in policy work as an undergraduate at the University of Washington through the Communities for Colleges Coalition, a statewide coalition focused on closing racial and economic gaps for students attending community colleges. Because of the COVID-19 pandemic, Leonhard's previous advocacy work was all done virtually.
</p>
<p>
The March 4 lobby day started with a briefing on WSMA's legislative agenda, including presentations from Rep. Liz Berry (D-36) on her bill prohibiting noncompete agreements, and from Rep. Clyde Shavers (D-10), on the intersection of health care and artificial intelligence. Program participants then congregated outside the Senate and House floor doors. They were able to speak with several representatives from their districts, including Rep. My-Linh Thai (D-41), Rep. Beth Doglio (D-22), and Sen. Curtis King (R-14). One group had an in-office meeting with Rep. Dan Bronoske (D-28), chair of the House Health Care and Wellness Committee. "We encouraged them to advocate on any of the bills that we talked
about earlier in the morning," says Toman.
</p>
<p>
One legislative priority discussed with Rep. Bronoske was the impact of the business and occupation tax increase, and WSMA's advocacy for exemptions and tax relief. "It was cool to share that as a young doctor, I'm also hoping at some point to open my own practice. But having a high business and occupation tax can be really difficult to overcome when you're a small business owner," says Dr. Khullar. "Meanwhile our patients are asking for more competition and less corporatization of health care. Those two things are kind of intermingled [with the B&amp;O tax]."</p>
<p>
Students from PNWU met with all their representatives. "The biggest and most important thing about that day was just putting faces to names," says Giauque, who hopes continued contact can help future lobbying efforts. "They're going to know that I'm there to answer questions for them, or that I'm someone who they have had a good experience with in the past."
</p>
<p>
"I'm a first [generation] everything ... Before doing this, I always felt like politicians were so far out of my reach," says Chang. "My time [that day] taught me they're just human beings ... They're very open to talking. It's not that hard to meet with them and discuss things. I realized there's so many ways even as a student that I can get involved and my voice does have power."
</p>
<h3>What's next?</h3>
<p>
Dr. Hollon's hope that the program would plant the seeds of growth within the WSMA has already taken root. Leonhard recently became a WSU student delegate to the WSMA and looks forward to next year's WSMA Legislative Summit (scheduled for March 23, 2027 in Olympia). "I definitely want to keep working with the WSMA, and I'm excited to see what else is to come," she says.
</p>
<p>
Chang, who matched in pathology at the University of Southern California, hopes to continue writing policy resolutions and participating in advocacy days during residency. "I would highly recommend the program to any med student who is
passionate about health care and would like to learn more and network with other like like-minded individuals," she says.
</p>
<p>
The WSMA hopes to offer the Medical Student and Resident Advocacy Program again this December. Dr. Khullar urges any medical student or resident to consider enrolling. "It would be great for people who see what's happening to our communities to also be part of the solution," she says.
</p>
<p>
Leonhard recommends it to all medical students, regardless of their policy background. "All the sessions on Zoom give great introductions so that everyone can get on the same page and learn the fundamentals from the start and grow from there," she says. “The program definitely helped get rid of some of that intimidation of the process."
</p>
<p>
"The louder we are, the more people we have who are involved, the better medicine is going to be for the rest of us," says Giauque. "My peers have done some amazing things in life and have some really amazing ideas … If we all can come together and use our voices, I really think we can make a huge difference."
</p>
<p>
<em>Rita Colarito is a freelance writer specializing in health care.</em>
</p>
<p>
<em>This article was featured in the May/June 2026 issue of WSMA Reports, WSMA's print magazine.</em>
</p>
</div> | 4/28/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| bipartisan-medicare-physician-payment-legislation-introduced | Bipartisan Medicare Physician Payment Legislation Introduced | Latest_News | Shared_Content/News/advocacy-report/2026/April 17/bipartisan-medicare-physician-payment-legislation-introduced | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2026/april/Medicare-iStock-1047505000-645x425px.jpg" class="pull-right" alt="image of Medicare documents" /></div>
<h5>Apr. 17, 2026</h5>
<h2>Bipartisan Medicare Physician Payment Legislation Introduced</h2>
<p>
The recently introduced Provider Reimbursement Stability Act, H.R. 8163, takes a major step in modernizing Medicare physician payment. Introduced by Rep. Greg Murphy, MD, (R-NC), and Rep. Tom Suozzi (D-NY), the bipartisan bill modernizes key budget neutrality rules, ensuring fairness and predictability for medical practices and stability for physicians and patients.
</p>
<p>
According to the American Medical Association, when adjusted for inflation, Medicare reimbursement for physician services has declined 33% from 2001 to 2026. Without capping these damaging cuts to physician Medicare reimbursement and other key reforms, doctors are unable to sustainably run their medical practices and are driven to retire or consider consolidating into larger groups, potentially leading to decreased access for patients in rural and underserved communities.
</p>
<p>
H.R. 8163 promotes reimbursement stability and protects physicians by updating the budget neutrality threshold; mandating that the Centers for Medicare and Medicaid Services evaluate the actual base costs for running a medical practice at least every five years; and revising how CMS addresses incorrect billing codes.
</p>
<p>
Currently, the budget neutrality threshold dictates that if spending increases exceed $20 million in one area, they must be offset by other costs in health care. The $20 million threshold has remained the same since the early 1990s and has never been adjusted for inflation. H.R. 8163 would modernize this outdated provision, providing a long overdue threshold increase to $54.3 million and indexing it every five years based on the cumulative percentage increase in the Medical Economic Index.
</p>
<p>
This bill requires CMS to regularly evaluate medical practice costs (i.e., clinical wage rates, equipment, medical supplies, etc.) to prevent large swings in payment rates. In addition, H.R. 8163 directs CMS to correct major errors in billing code estimates by reviewing actual claims data and making prospective rate adjustments, preventing deep, unnecessary cuts under current budget neutrality guidelines that stem from inaccurate utilization projections.
</p>
<p>
Make your voice heard: <a href="https://www.votervoice.net/BroadcastLinks/mh_0pW4jamO3xc7U0ny5NQ">Contact your member of Congress</a> and urge them to support commonsense Medicare payment reforms by cosponsoring H.R. 8163. This bill is a step in the right direction to promote viability of physician practices and patient access to care.
</p>
</div> | 4/17/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| unpacking-the-2026-session-pharmacist-scope-of-practice | Unpacking the 2026 Session: Pharmacist Scope of Practice | Latest_News | Shared_Content/News/advocacy-report/2026/April 17/unpacking-the-2026-session-pharmacist-scope-of-practice | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img src="/images/Newsletters/advocacy-report/2026/april/Rx_bottle_doctor_laptop_645x425.jpg" class="pull-right" alt="image of Rx bottle in hands of physician" /></div>
<h5>Apr. 17, 2026</h5>
<h2>Unpacking the 2026 Session: Pharmacist Scope of Practice</h2>
<p>
In recent legislative sessions, the Washington State Pharmacy Association has brought forward legislation to modify pharmacists' scope of practice in Washington state. As part of these efforts, in 2025 the state Department of Health conducted a "sunrise review," a process evaluating the safety and appropriateness of health profession scope expansion proposals. Working in concert with the physician community, WSMA's advocacy has defeated these proposals in both the legislative and regulatory arenas to date.
</p>
<p>
In response to our concerns on varied legislative frameworks that would have authorized broad independent diagnostic and prescriptive authority for pharmacists (<a href="https://app.leg.wa.gov/billsummary/?BillNumber=6019&amp;Year=2023&amp;Initiative=false">SB 6019</a> from 2024; <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=5513&amp;Year=2025&amp;Initiative=false">SB 5513</a> from 2025; and <a href="https://app.leg.wa.gov/BillSummary/?BillNumber=5924&amp;Year=2025&amp;Initiative=false">SB 5924</a> from 2026), the WSPA significantly narrowed its proposal during the 2026 session with a <a href="https://lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/Senate%20Bills/5924-S.pdf?q=20260408163632">substitute version of the bill</a>. However, the WSMA maintained concerns with the narrowed approach regarding patient safety, care coordination, technology, and professional standards, among other issues.
</p>
<p>
Despite WSMA's opposition, legislation expanding pharmacists' scope passed the state Senate for the first time with bipartisan support as legislators cited challenges around health care workforce shortages and patients' access to care. Ultimately, the WSMA was able to defeat this proposal during the 2026 session, but considerable momentum remains on this issue at the state Legislature.
</p>
<p>
In advance of the 2027 session, legislative leaders— including a pharmacist legislator in both the House and Senate—have urged the WSMA to work with pharmacists on a compromise using the amended, narrowed version of the bill as a starting point. The WSMA respects its pharmacist colleagues and will work in good faith to try to find agreement on revisions to pharmacists' scope of practice that will appropriately expand access to care while ensuring patient safety guardrails. We will keep you updated in future Advocacy Reports with any developments on these discussions.
</p>
</div> | 4/17/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |
| 2026-seattle-king-county-free-clinic-is-apr-23-26 | 2026 Seattle-King County Free Clinic is Apr. 23-26 | Latest_News | Shared_Content/News/Membership_Memo/2026/April 10/2026-seattle-king-county-free-clinic-is-apr-23-26 | <div class="col-md-12">
<div class="col-sm-5 pull-right" style="text-align: center;"><img alt="2026 Seattle-King County Free Clinic infographic" src="/images/Newsletters/MembershipMemo/2026/april/English-2026-Patient-Graphic.png" class="pull-right" /></div>
<h5>Apr. 10, 2026</h5>
<h2>2026 Seattle-King County Free Clinic is Apr. 23-26</h2>
<p>
The WSMA is proud again <a href="https://seattlecenter.org/skcclinic/partners/">to join the partners</a> of the Seattle/King County Clinic, the yearly health care event offering free dental, vision, and medical services to those in need. All are welcome to the three-day free clinic, which takes place in the Fisher Pavilion of the Seattle Center starting at 5:30 a.m. on April 23. All services are free, no ID is required, and interpreters are available.
</p>
<p>
Volunteers still needed! Visit <a href="http://www.seattlecenter.org/volunteers">seattlecenter.org/volunteers</a> to see the list of clinical needs that exist or simply go to the volunteer registration page and see what openings are available. Thursday and Sunday are always good places to start.
</p>
<p>
<strong>About the free clinic</strong>
<br />
Of the patients who seek services, approximately 95% are housed, 49% are insured, and only 36% are unemployed. As a recent <a href="https://seattlecenter.org/wp-content/uploads/2025/03/Big-Seattle-free-clinic-shows-the-gaps-in-our-health-care-system-_-Seattle-Times.pdf">Seattle Times op-ed</a> that featured the clinic shared, there are many reasons people may struggle to access or afford health care.
</p>
<p>
Help spread the word about the free clinic! Printable flyers, social media graphics, and suggested text are available at <a href="http://www.seattlecenter.org/patients">seattlecenter.org/patients</a>. The clinic's <a href="https://seattlecenter.org/skcclinic/faq/">FAQs</a> may also be a helpful resource. Stay connected to clinic updates by following them on <a href="https://www.facebook.com/SKCClinic/">Facebook</a>, <a href="https://www.instagram.com/seattlekingcountyclinic/">Instagram</a>, and <a href="https://linkedin.com/company/skcclinic">LinkedIn</a>.
</p>
</div> | 4/10/2026 12:00:00 AM | 1/1/0001 12:00:00 AM |