Washington State Passes Pregnant Workers Fairness Act

From NARAL: The Washington State Legislature has unanimously passed the Pregnant Workers Fairness Act and the bill is now on its way to the Governor’s desk.

The Pregnant Workers Fairness Act will protect pregnant workers by requiring employers to provide reasonable work accommodations during pregnancy, such as temporary reassignment to light duty, additional bathroom breaks, and flexible scheduling for prenatal appointments. It would also prohibit employers from requiring pregnant workers to take paid or unpaid leave instead of providing reasonable job modifications, as well as protect pregnant workers from unequal treatment or retaliation for asking for an accommodation.

Washington State joins fifteen states, D.C., and four cities that have passed laws requiring employers to provide reasonable accommodations to pregnant workers and protecting pregnant workers from retaliation when they request accommodations.

Congratulations to all the groups that spent huge amounts of time phone calling the legislators and going to meet them in Olympia.


Health leaders in Washington state seek improvements in existing health care law – Yakima Herald

Good original article by the Yakima Herald’s Molly Rosbach. Especially useful is it’s point on the use of Electronic Health Records, the bain of many physicians.

“Physicians don’t want to get rid of their EHRs; they understand the value, they just want to make sure it works in a way that’s natural to their work flow,” rather than a series of mindless boxes to check off, said Jennifer Hanscom, executive director of the state Medical Association. “It would be great if we could sit down with the folks at (Health and Human Services) in particular to kind of walk through that, and keeping the lens of a physician on all those regulations.”

A big area where documentation regulations appear at odds with the broader transition from fee-for-service to value-based purchasing is in prior authorization, Hanscom said: Why do insurers still require prior authorization, a extra step for patients and doctors, if doctors are already using the best evidence-based guidelines to make decisions about what services the patient needs?”

Read the whole story here:


Washington State Providers and Delivery System Speak out Against Republican Plan

SEATTLE, March 22, 2017 /PRNewswire/ — Five organizations that represent Washington State’s largest health care delivery systems, physicians and providers are stating their opposition to the American Health Care Act. The Washington State Hospital Association (WSHA), Washington State Medical Association (WSMA), Washington Association of Community and Migrant Health Centers (WACMHC), and the Community Health Network of Washington (CHNW), along with its subsidiary non-profit managed care company, Community Health Plan of Washington (CHPW), are calling on Congress to reject the House proposal that puts their patients at risk. Collectively, these groups represent 107 hospitals, 267 clinics, 10,000 physicians and other providers, 315,000 members, and more than 17 million patient visits a year statewide.


Read the whole story here: http://www.prnewswire.com/news-releases/washington-state-providers-and-delivery-system-speak-out-against-the-american-health-care-act-300428243.html

Planned Parenthood: 88,000 people in Wash. state would lose health care under new proposal – KOMO NEWS

This is about a Christian dominated Republican Congress acting to reduce women’s health care rights and opportunities. It is at it’s core immoral and likely illegal. A number of courts, such as in Texas, have ruled that it is not legal to kill funding to Planned Parenthood over one specific health care need. To be clear, many women cannot have children or can’t afford to. The first reason, due to health concerns, can be from a variety of causes. The second, is an economic one, and I don’t see Republicans flocking to the adoption sites to take these adoptees in. The hypocrasy of a political organization like the Republican Party, claiming “Family Values” and that government should “get out of the way of people” while promoting such overreach into women’s (and men’s) lives, is so ugly, that it is hard not to get angry at them. Then there is the issue of the jobs at these clinics that would be lost. I thought Trump was trying for full employment?

SEATTLE – Inside a Planned Parenthood clinic in Seattle’s Central District Tuesday, Nicole Hurst juggled a full calendar of family planning and primary care patients.
Hurst, who has worked at the clinic for almost a year, said she and colleagues had prepared for the news they learned Monday night – that Congress was talking about cutting Planned Parenthood’s funding.


Kitsap County: Hearing to discuss Harrison Hospital Expansion and religious doctrine issues

As more of our hospitals, and especially our rural hospitals, have been taken over by Catholic and other religious orders that seek to ban women’s access to reproductive health care, along with end of life decisions for all of us, many of us are very  concerned about maintaining long standing legal choices.  Harrison Hospital is the only hospital between Port Townsend and Seattle, and many of our local patients get transferred there, or seek care on their own, due to the perception of a larger hospital being more capable.

We are at a crossroads as Harrison is moved, quietly and behind the scenes, into the Catholic sphere of influence, having been bought by them. Because of their state license, they are not allowed to openly ban healthcare based on religious beliefs. But citizens have the right to demand that the hospital follow the laws explicitly. Here is your opportunity to demand that. Please make it a priority if you have concerns.


Barry Peters
Resident: Bainbridge Island, Washington (and former City Council member, 2008-11)
(206) 317-6150

February 21st Hearing: We Seek To Improve Access to Lawful Healthcare Options in Kitsap

At the 11am February 21st hearing at Poulsbo City Hall, a member of the public may make a 3-minute comment.

Some forms of healthcare are lawful and valued by many, but may be becoming less accessible here in Kitsap County and elsewhere in the multi-county area served by Franciscan Harrison.

A February 21st public hearing by Washington State Department of Health will give local residents a chance to address patients’ rights and the need for access to care – including types of care which may be contrary to the “Religious Directives” of the church-associated healthcare system that owns and operates our only hospital in Kitsap.

One local resident is encouraging other concerned area residents to attend the hearing and express their preferences about the need for access to hard-to-find healthcare options.

Residents of Kitsap (and extended service area) who care about the importance of access to certain lawful health care services and options – including women’s reproductive rights care and end-of-life options – have an opportunity to voice their concerns at the Washington Department of Health’s hearing at Poulsbo City Hall on February 21st, starting at 11am.

One of the issues for the hearing to address is whether a large proposed project by CHI Franciscan Harrison will lessen access to certain forms of healthcare – including by women, the elderly, the handicapped, or others.  The project has an estimated cost of nearly $500 million dollars – nearly half a billion dollars. CHI Franciscan Harrison in Kitsap is now a part of a national religious hospital chain that includes seven hospitals in this region.

The hearing is the result of an approved request by at least one local Kitsap resident for a Department of Health hearing. The request was based on the resident’s desire for the public to ask the State whether the Religious Directives of CHI Franciscan and the Catholic church – when combined with the major expansion of the proposed project – will impose an obstacle to access by our community members to a full range of lawful healthcare services relating to women’s reproductive rights and end-of-life options.

The hearing gives the local public a chance to ask whether Religious Directives which are currently being attached to contracts with Kitsap area providers are increasingly becoming a barrier for patients to access lawful and needed forms of health care and end-of-life options. This question becomes crucial to access to care now that CHI Franciscan (according to its website) controls healthcare practices of nearly 200 physicians and other providers in Kitsap.

The hearing arises in connection with an application for State Health Department approval of a Certificate of Need to relocate CHI Franciscan’s Bremerton hospital beds to Silverdale. That is already the only hospital in Kitsap County. The Kitsap community’s hospital campuses in Bremerton and Silverdale were previously owned by Harrison Medical Center. Harrison was a secular community hospital with no religious affiliation until 2013 when the takeover of ownership by the CHI Franciscan system was finalized.

According to its website and the State Department of Health, Harrison maintains a published policy regarding patients seeking options under the Death with Dignity Act. That policy document states that it is subject to review in December 2016, which has passed. At the hearing, there would be an opportunity for the public to ask the Department of Health to have the applicant submit its proposed policy stating to what it extent it will accommodate patient requests for Death with Dignity Act options.

Also, for example, in the area of women’s reproductive healthcare, Harrison Hospital currently publishes a policy that appears to defer to a doctor’s individual professional judgment where it says: “In circumstances wherein a woman’s life is in danger, providers at Harrison are expected to follow best practices of surgical and non-surgical treatment options even if it results in termination of the pregnancy.”

In connection with the large proposed project, the hearing will present an opportunity to ask whether CHI Franciscan will retain those Harrison policies – or change them to conform to its more sweeping Religious Directives that exclude certain lawful healthcare options.

Members of the public may ask at the hearing what the new CHI Franciscan project, and its increasing use of Religious Directives, will mean for access of patients to lawful types of healthcare and end-of-life options.

One resident who plans to ask questions like that at the hearing is Barry Peters, a 70-year-old resident of Bainbridge Island. He is a member of a local Unitarian Universalist church where many fellow members sought to legalize “death with dignity” options for Washington. He was an active participant in the 2008 public campaign in which a majority of Washingtonian’s voters approved a ballot measure resulting in Washington’s Death with Dignity Act. That Act legalizes medical aid in dying, subject to certain legal limitations for a willing person who wants that option and who physicians find to be close to the end of life. A similar act has long existed in Oregon and another was recently approved by voters in Colorado.

Courts, legislatures, and even our new president, are increasingly standing at the crossroads of religious beliefs colliding with patients’ rights. For example, a Federal appellate court ruled in 2015 that a pharmacist in Washington State with a religious objection to dispensing a medication could decline to dispense it himself, but his pharmacy had a duty to fill a lawful prescription. By analogy, the February 21st hearing might be an opportunity to recognize and accommodate religious beliefs of individual physicians, but ask that an entire corporate health system and its community-wide network of medical practices not be allowed to use Religious Directives to regionally block a patient’s access to lawful treatment options.

At the February 21st hearing, as Barry Peters commented: “We in the Kitsap community may want to ask the Department of Health an important question. Should a health system with the only hospital in the county – one that imposes its religion’s prohibitions on the community’s physicians and other healthcare providers — be allowed to unconditionally grow to the point of effectively monopolizing limitations on access to care. At what point does such unconditional growth improperly limit a patient’s access to lawful care and personal health options?”

He added: “This religiously-affiliated hospital will continue to be financially supported by the taxpayers’ public dollars, from public programs like Medicare, Medicaid, CHIPS for children, Veterans medical programs, and so on. Patients supported by public dollars deserve better access in Kitsap County to lawful treatment options.”

At the 11am February 21st hearing at Poulsbo City Hall, a member of the public may make a 3-minute comment.

Written comments are encouraged by the Dept of Health. The deadline for written comments to be received by the Dept of Health is 5pm February 21st.

Faxed comments will not be accepted.  

Mailing address is:

Department of Health
Certificate of Need Program
Mail Stop 47852
Olympia, WA 98504-7852

Email address for the Department of Health Analyst managing this Certificate of Need process is Karen Nidermayer:  karen.nidermayer@doh.wa.gov

Update from Olympia

The battle for control of the State Senate, which, if the Democrats are successful, would help pass meaningful healthcare legislation rather than mouth platitudes about undefined social goals, which is what the Republicans are currently doing, instead of engaging in real legislation. This from the Reproductive Health News

 Last Tuesday the state Senate became a tied body (24 Democrats and 24 members of the Republican Caucus) with the resignation of Sen. Dansel (LD-07) to accept a post in the Trump administration. Along with the frequent absence of Sen. Ericksen (LD-42) and Sen. Baumgartner (LD-06) to assist with the Trump transition, there is now an ongoing standoff in the Senate, with the controlling Republicans unable to convene floor action for fear of being outvoted (and possibly losing control) to Democrats who are actually able to put more senators on the floor. (The tie was ended on Monday when Rep. Shelly Short was appointed to the open Senate seat.)

· 2017 Legislative Priorities:
o 12 Months of Birth Control (HB 1234) – This proactive bill has been formally scheduled for a public hearing on Wednesday 2/1 in the Health Care & Wellness Committee and we are working with allies to coordinate speaker panels. A Senate version, SB 5554, has been introduced with the bi-partisan support of two Democrats and two Republicans (both members of the Senate Health Care Committee, including the Chair who has indicated she will give it a hearing).
o Paid Family & Medical Leave (HB 1116, Robinson; SB 5032, Keiser) – These progressive bills would put in place an integrated, holistic system for paid leave. The House version was passed out of committee last week and has been referred to House Appropriations, and the Senate version has been scheduled for a public hearing on Jan. 30 in the Senate Commerce, Labor and Sports Committee. A competing Republican version (SB 5149, Fain) that is significantly less progressive is also scheduled for a public hearing.
· Partner-Led Priorities:
o Voting Rights (SB 5267, Hunt) – There has been no movement on this progressive, proactive bill to enhance voting rights in WA. SB 5067 and SB 5068, two alternative Republican-sponsored bills that our allies who lead on voting rights issues oppose, had a public hearing in the Senate Committee on State Government but have not yet been scheduled for a vote. We are continuing to educate legislators on the crucial differences between these competing versions.
o Healthcare Consumer Protection (HB 1043, SB 5124) – The Office of the Insurance Commissioner (OIC) requested our support on bills to exempt personal healthcare information from being subject to disclosure under the state public disclosure act. The House version had a public hearing and is expected to be passed out of committee. The Senate version had a public hearing but has not yet been scheduled for a vote by the Senate Health Care Committee.
o Healthy Starts Act (SB 5299) – Formerly known as the Pregnant Workers Fairness Act, this bill has broadened in scope to encompass a wider range of protections for maternal and child health. It had a a public hearing in the Senate Committee on Commerce, Labor & Sports on Jan. 30.

The Heroism Of Incremental Care – Atul Gawande- The New Yorker

Another great piece by Atul Gawande. A must read for hospital administrators and commissioners.

We devote vast resources to intensive, one-off procedures, while starving the kind of steady, intimate care that often helps people more.